Compare and contrast the paper-based medical record versus the electronic health record. Which do you feel is better long term?

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Unit II Research Paper Using the Waldorf Online Library,
research scholarly articles related to the transition from a paper-based health record system to a fully integrated electronic health record system for a hospital.
Develop a minimum of a four-page paper and incorporate the following requirements in your paper:
1. Compare and contrast the paper-based medical record versus the electronic health record. Which do you feel is better long term?
2. What is involved in the transition? Discuss the integration, training, and sustainability activities required for the electronic health record.
3. What incentives are available for the hospital to adapt to an electronic health record based system? What are the consequences if the hospital does not adapt? As part of your assignment, you will create an argumentative thesis statement that clearly shows the opinion you formed with the help of your research. All sources used, including the textbook, must be cited and referenced appropriately.

Legal – define and argue the legal implications for each party. Explain health laws involved and the influence of the legal environment at the time of this case.

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Write a 12-15 pages report evaluating this case and providing recommendations of this case. Your report should address the following substantive requirements:
• Description of what occurred, who was affected, and rationale
• Assessment of the case from the following perspectives:
o Ethical – describe the ethical principles involved and expectations for all involved.
o Legal – define and argue the legal implications for each party. Explain health laws involved and the influence of the legal environment at the time of this case.
o Regulatory compliance – examine regulatory standards and compliance involved.
o Health reform – illustrate how this case and your role as administrator are different now due to changes in health law and expectations from health reform.
• Recommendations – argue at least three recommendations for the current and future prevention of this type of situation in your facility.
• Action plan for prevention – create an action plan for prevention explaining how you would implement these recommendations.

How would you consider your overall physical well-being and health?

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RESPONSE 1

Respond to two colleagues and explain how their assessments support the NASW Code of Ethics (2008). Include two values and/or guiding principles to support your explanation.
Colleague 1: Gradnette
Magda is an 81-year-old widow, she lives 30 minutes away from her son, John and her daughter-in-law, Helen. Six months ago, Magda appeared to be self-sufficient which means she was able to take care of her daily needs without the support of others. Recently, she experienced an incident where she fell and broke her hip. During her incident a tragic discovery was found that she had early signs of dementia. Since the incident Magda has been unable to care and provide for herself. She has had several caretakers; a church member of her son and daughter-in-law, Helen, and her grandson, Alec. Her daughter-in- law, Helen is the lead caretaker which means she takes on majority of the responsibility for caring after Magda. Outside of Helen, her son Alec insisted on helping her take on the responsibility for caring after Magda. Instead of properly caring for Magda, he causes her health to worsen as he misused her medication, robs her during several occasions, and leaves her unattended for a long period of time. After the incident; Helen had to go in to help Magda recuperate from the damage caused by Alec careless motives. As of now Magda only income is the support she receives from John and Helen. There have not been any signs of injuries to report from Alec living with Magda. It appears as Magda is aware of her surroundings and as of now Helen is her only care taker.
The original assessment involving Helen and Magda.
The original assessment will consist of implementing a two month; twice a week family counseling session involving Helen and Magda. During the first session; I will have each participant state their feelings towards one another. Afterwards, I will have Helen state her thoughts towards caring for Magda. Once she gets done, I will have Magda discuss her feelings and thoughts towards Helen being her care provider. After hearing and documenting all discussion; I will next put in place a treatment plan whereas Helen responsibility for caring for Magda can be convenience. During the treatment plan; I will educate Helen on the responsibilities of caring for elderly. I will also recommend her to take some educational courses which will further educate her on caring for Magda along with the funding available. Next, I will educate Magda on the guidelines, responsibilities, and anxieties of a caregiver. I will also educate Magda on several agencies which provides support with medication and proper care. Afterwards, I will ask for Magda’s consent to conduct further research to see if she is eligible to receive senior assistance; if so, I will refer her to a home care agency. Overall, her compliance to this treatment plan will help take the burden and stress off Helen and the family.
Questions I will Ask Magda:
1. How would you consider your overall physical well-being and health?
2. How much social support you receive from your family? Do your family fulfills your needs when you need someone to talk to or transportation?
3. How often do you receive support from outsiders and family members when they visit you in your home?
4. How are you able to perform everyday activities? Do you need any support to fulfill your everyday activities?
5. Are you able to move around within your home and community without supervision?
6. Can you complete your own house chores, prepare your own meals, and complete your own laundry?
7. Are you able to take care of your own appearance without the support of others?
8. How often do you take your medication? How many different kinds of medication do you take? What are the names of your prescribed medication?

How many women were employed versus not employed in the sample?

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The hypothesis being tested is: Women who are working will have a lower level of depression as compared to women who are not working.
Using Polit2SetC SPSS dataset, which contains a number of mental health variables, determine if the above hypothesis is true.
Follow these steps when using SPSS:
1. Open Polit2SetC dataset.
2. Click Analyze then click Compare Means, then Independent Sample T-test.
3. Move the Dependent Variable (CES_D Score “cesd”) in the area labelled Test Variable.
4. Move the Independent Variable (Currently Employed “worknow”) into the area labelled Grouping Variable. The worknow variable is coded as (0= those women who do not work and 1= those women who are working). Click on Define Groups in group 1 box type 0 and in group 2 box type 1. Click Continue.
5. Click continue and then click OK.
Assignment: Through analysis of the data and use of the questions below write one to two paragraphs summarizing your findings from this t-test.
1. How many women were employed versus not employed in the sample?
2. What is the total sample size?
3. What are the mean (SD) CES-D scores for each group?
4. Interpret the Levene’s statistic. (Hint: Is the assumption of homogeneity of variance met? Are equal variances assumed or not assumed?)
5. What is the value of the t-statistic, number of degrees of freedom and the p-value?
6. Does the data support the hypothesis? Why or why not?
Part II
Hypothesis: Women who reported depression scores in wave 1 and wave 2 of the study did not have a significant difference in their level of depression.
Using Polit2SetC SPSS dataset, determine if the above hypothesis is true.
Follow these steps when using SPSS:
1. Open Polit2SetC dataset.
2. Click Analyze then click Compare Means, then Paired Samples T-test.
3. First click on CES-D Score (cesd) and move it into the box labelled Paired Variables (in the rectangle for Pair 1 of Variable 1 and then click on CESD Score, Wave 1 (cesdwav1) and move it into the Paired Variables box (in the rectangle next to CES-D Score, pair 1, variable 2).
4. Click continue and then click OK.
Assignment: Through analysis of the data and use of the questions below write one to two paragraphs summarizing your findings from this t-test.
1. What is the total sample size?
2. What are the mean (SD) CES-D scores at wave 1 and wave 2?
3. What is the mean difference between the two time periods?
4. What is the value of the t-statistic, number of degrees of freedom and the p-value(sig)?
5. Does the data support the hypothesis? Why or why not?