Flexbility

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**Please Provide References** Minimum of 250 words**

Does adding debt increase or decrease the flexibility of a healthcare provider? Why or why not? Explain which types of debt are most desirable for a healthcare organization. As a future healthcare manager, just making a profit is not the ultimate goal. List several reasons to incur debt and how that debt will ultimately improve the financial stability of your organization and service to your community.

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Cloud based computing

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Assignment 2: Cloud Solutions

 

Cloud-based computing allows businesses to store and access large amounts of data over the Internet rather than on in-house computer hard drives. There are several cloud-based data solutions currently available in the marketplace.

 

Using the Argosy University online library resources and the Internet, research the latest cloud-based data solutions in the marketplace today. Select at least 2 scholarly sources for use in this assignment.

Assume you are evaluating vendors providing cloud-based solutions for your current organization or a hypothetical organization.

 

Complete the following:

 

  • Identify three potential vendors.
  • Compare and contrast the three different vendors. Be sure to consider the services, data solutions, and security features they provide.
  • Based on your analysis, provide a recommendation about which provider or solution you think would work best.
  • Provide a justification explaining why it would be the best product for your selected business to use (using your current organization or a hypothetical organization). Support your recommendation with up-to-date knowledge of business practices and technology use. Be sure to provide a little background about the organization to help justify your recommendation.

Utilize at least 2 scholarly sources in support of your assertions.

Make sure you write in a clear, concise, and organized manner; demonstrate ethical scholarship in appropriate and accurate representation and attribution of sources; display accurate spelling, grammar, and punctuation.

Write a 3–4-page report in Word format. Apply APA standards to citation of sources. Use the following file naming convention: LastnameFirstInitial_M4_A2.doc.

 

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The PICOT question is based on the question answered to the professor and class.

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professor and class,
Working for a skilled home health agency performing skilled RN visits, the management team tends to focus on re admissions rates for COPD patients. The skilled visits serve the purpose of assisting in managing disease process and providing education and resources. The goal is to adequately manage all effects of COPD at home. The article concentrates on detail discharge planning along with obtaining goals upon discharge home preventing readmission to hospital. Reducing readmission rates is a priority for the hospitals and home health agencies due to medicare reimbursements. ( Derdak, S 2017 ). This is a focal point on the nursing clinical issue accomplishing good patient outcomes in efforts to prevent hospitalization. Being hospitalized can lead to deadly infections, and even death.
PICOT Question
P – COPD patients readmission to hospital
I – Patient will receive skilled home health services
C- Discharge home without formal skilled services.
O- Reduction of readmission to hospital due to COPD exacerbation.
T- Within 60 days certification period.
Reference:
Derdak, S. (2017). Prevention of COPD Readmissions: A Work in Progress. Respiratory Care, 62(1), 133-134. doi:10.4187/respcare.05350

Submit Assignment

Due Sunday by 11:59pm
Points 200
Submitting a file upload

PICOT WORKSHEET GUIDELINES
Updated 7/27/2017
Purpose
Clear identification of the problem or opportunity is the first step in evidence-based nursing. This assignment offers a tool to assist in the identification of the problem, proposed intervention, and desired outcomes. Completion of the assignment will include identification of the problem or concern using the PICOT format.
Course Outcomes
This assignment enables the student to meet the following Course Outcome.
CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO7)
Due Date
Submit the completed PICOT Worksheet form (Links to an external site.)Links to an external site. by Sunday, 11:59 p.m. MT at the end of Week 3.
Points
This assignment is worth 200 points.
Directions

Read these guidelines including the grading rubrics below. Watch this video on how to complete the assignment at http://www.brainshark.com/devry/vu?pi=zHZzQomrNzHr05z0 (Links to an external site.)Links to an external site.
Download the PICOT Worksheet form (Links to an external site.)Links to an external site..
Consider what is the nursing problem or issue that you have uncovered. Make sure it is related to nursing, i.e., one that a nurse can solve independently. Do not select a medical problem that is dependent upon a medical professional to resolve.
Download an Example (Links to an external site.)Links to an external site. of how to fill in the worksheet to help you complete your own form.
Submit the completed PICOT Worksheet form.

EXAMPLE 1:
What is the PICO(T) question?
Will influenza immunization compliancy rates increase if flu clinics are provided in a Flu PODS and immunization clinics at convenient times covering all shifts?
Define each element of the question below:
P- (Patient, population, or problem): Hospital employees and volunteers required to have the influenza immunization annually
I -(Intervention): Offer multiple Flu “PODS” and immunization clinics to hospital employees and volunteers making it convenient to receive the required immunization. Offer at a variety of times, available to all shifts
C- (Comparison with other treatment/current practice): Compare analytics showing employees and volunteers who received flu shot prior to 2016 when Flu PODS and immunization clinics were not offered compared to 2016 where Flu PODS and immunization clinics are offered to accommodate shifts. Track number of employees/volunteers coming at each hour time frame.
O- (Desired outcome): Increase of compliance of receiving the annual mandatory flu shot by employees and volunteers
EXAMPLE 2:
What is the PICO(T) question?
For non-diabetic patients on corticosteroid therapy, does monitoring for headache, fatigue, nausea, vomiting, and blurred vision hourly vs. no observations for signs of hyperglycemia promote improvement of pulmonary complications?
Define each element of the question below:
P- (Patient, population, or problem): Non-diabetic patients on corticosteroid therapy.
I- (Intervention): Monitoring for headache, fatigue, nausea, vomiting, and blurred vision
C- (Comparison with other treatment/current practice): No observations for signs of hyperglycemia
O- (Desired outcome): Improvement of pulmonary complications
T-(Time): 90 days
**Academic Integrity Reminder**
Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.
By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.
Please see the grading criteria and rubrics on this page.
NOTE: Please use your browser’s File setting to save or print this page.
Rubric
NR439_PICOT_Worksheet

NR439_PICOT_Worksheet

Criteria
Ratings
Pts

This criterion is linked to a Learning OutcomePICOT questionQuestion or nursing problem is identified and is an independent nursing decision.

50.0 pts
Outstanding Question or nursing problem identified that is an independent nursing decision

44.0 pts
Very good Question or nursing problem is identified that is an independent nursing decision

40.0 pts
Competent Question or nursing problem is identified that is an independent nursing decision.

19.0 pts
Question or nursing problem is identified but is not an independent nursing decision.

0.0 pts
PICOT question missing.

50.0pts

This criterion is linked to a Learning OutcomePICOT elementsPICOT elements are correctly identified. Outcomes are measurable.

50.0 pts
PICOT elements are correctly identified. Outcomes are measurable.

44.0 pts
One PICOT element is not correctly identified. Outcomes are measurable.

40.0 pts
Two PICOT elements are not correctly identified. Outcomes are not measurable

19.0 pts
Three or more PICOT elements are not correctly identified. Outcomes are not measurable.

0.0 pts
PICOT elements are missing.

50.0pts

This criterion is linked to a Learning OutcomePractice issue and scope of the problemPractice issue/problem is thoroughly described. The need for change is evident. Practice area is identified. Identification of the practice issue is clear. Scope of the problem is identified.

50.0 pts
Practice issue/problem is thoroughly described. The need for change is evident. Practice area is identified. Identification of the practice issue is clear. Scope of the problem is identified.

44.0 pts
Practice issue/problem is partially described. The need for change is evident. Practice area is identified. Identification of the practice issue is clear. Scope of the problem is identified.

40.0 pts
Practice issue/problem is vaguely described. The need for change is not obvious. Practice area is identified. Identification of the practice issue is clear. Scope of the problem is identified.

19.0 pts
Practice issue/problem is vaguely described. The need for change is not obvious. Practice area is not identified. Identification of the practice issue is not clear. Scope of the problem is not identified

0.0 pts
Not answered.

50.0pts

This criterion is linked to a Learning OutcomeEvidenceAppropriately identifies the types of evidences that should be gathered.

20.0 pts
Identifies and documents four types of evidence needed for review.

17.0 pts
Identifies and documents three types of evidence needed for review.

16.0 pts
Identifies and documents two types of evidence needed for review

7.0 pts
Identifies and documents one type of evidence needed for review.

0.0 pts
Does not document types of evidence.

20.0pts

This criterion is linked to a Learning OutcomeRationale for EvidenceGives rationale for the types of evidence that is gathered.

20.0 pts
Thoroughly describes rationale for checked types of evidence.

17.0 pts
Good description of rationale for checked types of evidence.

16.0 pts
Partial description of rationale for checked types of evidence.

7.0 pts
Minimal rationale for checked types of evidence.

0.0 pts
Rationale missing.

20.0pts

This criterion is linked to a Learning OutcomeSearch TermsDescribes search terms that are manageable and will yield good results.

5.0 pts
Thoroughly describes manageable search terms.

4.0 pts
Good description of manageable search terms.

3.0 pts
Partially describes manageable search terms.

2.0 pts
Minimally describes manageable search terms.

0.0 pts
Search terms are absent.

5.0pts

This criterion is linked to a Learning OutcomeHow to Narrow Search in the LibraryProvides a description of how the library search will be narrowed to produce relevant returns.

5.0 pts
Thoroughly describes how to narrow searchFull Marks

4.0 pts
Good description how to narrow search.

3.0 pts
Partially describes how to narrow search.

2.0 pts
Minimally describes how to narrow search.

0.0 pts
No description given.

5.0pts

Total Points: 200.0

 

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Operational Implication of Process Improvement

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Final Project: Operational Implications of Process Improvement

During this class, we examined a range of methods used in operations management to monitor, assess, and improve performance in health care organizations. In this final Assignment, you will review the Learning Resources made available throughout the class, and any additional external resources you may find. Then, you will synthesize your understanding of these resources, applying your knowledge to the Pediatric Hospital case study.

According to the case study, a kaizen event revealed that variability in operations performance and outcomes was the root cause of a bottleneck in scheduling MRIs. Three solutions were provided, including:

  • Modify the master schedule.
  • Streamline the insurance authorization process.
  • Implement standardized work instructions.

To prepare for this Assignment:

Read the Pediatric Hospital in Tough Market Pegs Growth to Lean Process Improvement case study by Tonya Vinas, located in the Learning Resources. Review the key metrics and current state of the organization before the interventions were conducted.

The Assignment:

In a 6- to 7-page report to the board of directors (not including title page or references):

  1. Assess operations requirements and resources for Pediatric Hospital. Describe what is working and what is not working.
  2. Conduct a quantitative and qualitative benchmark literature review and scan of operations best practices (from the health care industry or outside the health care industry) and provide and evaluate an example of an initiative that a high-reliability health care organization has implemented, and indicate how Pediatric Hospital can implement that initiative.
  3. Evaluate Pediatric Hospital’s readiness for the transition of health care systems from a volume- to value-based delivery system. Using data provided in this case, provide relevant and practical recommendations to improve its readiness and how it might affect the implementation of the initiative.
  4. Analyze the operational implications of 2–3 current health care reforms and mandates that might affect the implementation of the initiative.
  5. Consider current and future trends and forces in operations management excellence and assess how these can help this Pediatric Hospital and other similar health care organizations to become a sustainable model for high-reliability organization.

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Operational Implication of Process Improvement was first posted on February 1, 2021 at 11:27 pm.
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