Based on your knowledge of the standard being discussed, provide 1–3 changes that you might recommend. If you do not have any recommendations, then provide your reasons for not having a recommendation.

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You were asked to choose a quality-improvement standard within health care to discuss. This standard could be related to credentialing, patient safety, utilization management services, home health care, or long-term care. Prepare a PowerPoint presentation of 6–8 slides with speaker notes of 75-150 words not including title and reference pages that will display the following information:
• Define and explain the quality process you chose.
• Define descriptive versus inferential statistics. If you were to survey your members, describe the form of the 4 levels of measurement that would be suited for your task (i.e. nominal, interval, ordinal, and ratio).
• Identify the purpose of the measure.
• Illustrate how patients or members have benefited or will benefit from the process.
• Identify which types of health care organizations are impacted by the standard.
• Based on your knowledge of the standard being discussed, provide 1–3 changes that you might recommend. If you do not have any recommendations, then provide your reasons for not having a recommendation.

Describe how you plan to utilize and implement evidence-based practice protocols found from the Agency for Healthcare Research and Quality to ensure competent and safe care for your patients.

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Answer the following questions in a 2-pages document as two separate discussion topics:
• The Centers for Medicare and Medicaid Services and MACRA Legislation require provider transparency in quality and value care. As an Advanced Practice Nurse enrolled in the Medicare reimbursement program, you will be expected to demonstrate competent, patient-centered outcomes. Describe how you plan to utilize and implement evidence-based practice protocols found from the Agency for Healthcare Research and Quality to ensure competent and safe care for your patients.
• Review the Team STEPPS initiative from the Agency for Healthcare Research and Quality (AHRQ). Describe the specific objectives of this national initiative and how you can implement this into your clinical setting as an APN to reduce patient errors and improve teamwork and communication.

Create a plan detailing opportunities for JK to gain adequate access to appropriate foods for one week.

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Imagine you are a community health nurse assigned to care for a family with a newly diagnosed type-2 diabetic member. The diabetic family member, JK, is a 66-year-old African American woman with hypertension and asthma. JK lives in a food desert and does not drive. JK’s family visits her weekly, but they have complicated lives and are unable to provide daily care for her.
Evaluate the following community health resources:
United States Department of Agriculture
Food Access Research Atlas Overview
Food Access Research Atlas Map
Centers for Disease Control and Prevention
A Look Inside Food Deserts
Small Food Stores and Availability of Nutritious Foods
State Health Statistics
American Nutrition Association
USDA Defines Food Deserts
Create a plan detailing opportunities for JK to gain adequate access to appropriate foods for one week. Your plan must address:
Appropriate and realistic estimated budget
Shopping locations
Transportation means, routes, and timing
Support services
Compare JK’s community Miami-Dade county census data.

Explain strategies you have integrated into your proposed economic initiative that will ensure it can remain a viable asset to your care setting in the face of dynamic environmental forces.

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As a Master’s level health care practitioner you may be expected to create budget and implementation plans to ensure that economic opportunities for the organization are rolled out successfully and can be sustained over multiple years. Additionally, it is important to be able to envision how an economic initiative could be used for different contexts and purposes to keep the investment a viable and positive asset to your organization or care setting.

Scenario

The senior management members have sent you their thanks and notes on your feasibility study for your proposed economic initiative. They have determined that your proposal has the potential to benefit the organization in both the short and long term. The last step in this process is to complete a thorough implementation plan for your proposed initiative. This plan will need to include a budget of relevant expected material, staffing, and capital costs over the first five years of the initiative (see the Resources for some examples and guides about budget planning), as well as projected earnings from the initiative for the care setting. You must also include a plan and timeline for rolling the initiative out, an analysis of how it may impact other aspects of the care setting, an explanation how it can remain viable in the face of environmental changes, and sufficient relevant supporting evidence.

Instructions

In your 6–10 page plan, you have been asked to be sure to address the following. Note: The bullet points below correspond to grading criteria in the scoring guide. Be sure your work is, at minimum, addressing each of the bullets below. You may also want to read the scoring guide and the Guiding Questions: Implementation Plan for a New Economic Opportunity document to better understand the performance levels that relate to each grading criterion:
•Create a budget for relevant expected costs and earnings or benefits over the first five years of your proposed economic initiative.
•Propose a plan to roll out your economic initiative that will enable your care setting to successfully implement it in an ethical and culturally equitable way that will ensure achievement of quality or service improvements.
•Analyze how your proposed initiative, once implemented, may impact other aspects of your care setting and ways in which negative impacts could be mitigated.
•Explain strategies you have integrated into your proposed economic initiative that will ensure it can remain a viable asset to your care setting in the face of dynamic environmental forces.
•Justify the relevance and value of the quantitative and qualitative economic, financial, and scholarly evidence you used to support your recommendations throughout your plan.
•Communicate your business and implementation plan in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling.
•Effectively support your plan and recommendations with relevant economic data and scholarly sources, correctly formatting citations and references using current APA style.

Requirements
•Length of paper: 6–10 double-spaced, typed pages (not including title page and reference list). Your paper should be succinct yet substantive. ?Be sure to include a separate title page and reference list.
?Your completed budget plan should be included as an appendix within your final submission.