Analyze the roles of organizational stakeholders and interest groups involved in health care laws and regulations.

/in /by

Select a law that has an impact on the health care industry. Examples of such laws may include access to care, discrimination, health care privacy and security, employment, etc.

Write a 1,750- to 2,100-word paper in which you discuss the impact of the selected law on health care organizational policies.

Include the following in your paper:

Analyze the relationship between law and policy in health care.
Differentiate legislative versus institutional policies in health care.
Analyze the influence of politics on health care regulations, laws, and policies.
Analyze the role and impact of governmental and non-governmental regulatory agencies on health care policy.
Evaluate the impact of legislative policy on resource allocation in the health care industry.
Analyze the roles of organizational stakeholders and interest groups involved in health care laws and regulations.
Format your paper according to APA guidelines.

Cite at least 4 peer-reviewed, scholarly, or similar references.

Create and test a health informatics product or process.

/in /by

THIS IS THE GUIDELINE

Create and test a health informatics product or process.

The aim of this assignment is to create a new health informatics product or process for use in a particular health environment and to take this through at least two design cycles. For clarity, the word ‘product’ will be used throughout these guidelines.

Type of product – this is entirely at the discretion of the student as long as it can be demonstrated that it could clearly be defined as an element of health informatics.
It is suggested that three issues be taken into account when choosing a product:
That there is some sort of needs assessment undertaken as a rationale for creating the product
That the type of product is suited to the students particular talents and experiences
That the product is at least new to the environment for which the product is designed.

Examples of such products could be (but not limited to):

A website for a particular purpose

Design cycle – The product should be taken through at least two ‘assess – plan – implement – evaluate’ type cycle. Where time and circumstances allow, further cycles are encouraged. Project management models may be used but are not a compulsory element.

• The test subjects should be confined to close colleagues, peers, friends or family.
• It should be thought of as an ‘alpha test’.
• Evaluation should be kept informal and must not involve direct patient care.
• It is important that the assignment is not perceived by anyone as a research
process – patients, in particular, should not be approached or involved in any way. This is beyond the scope of this assignment and would introduce research governance and ethics approval.
• Where testing in a work environment, gain the permission of the appropriate manager but ensure that it is understood that it is informal.

Journal – It is highly recommended that the student keep a journal throughout the design and test process. The journal should record each stage of the process, including thoughts, reflections and reactions of others. The journal itself will not be submitted but will prove an important source for the portfolio.

Portfolio – This is the representation of the design cycle which is submitted. The portfolio in this case may be regarded as a collection of evidence for the stages of the design process. The evidence may include (but not be limited to):
References to appropriate literature
Images
Video clips
Copies of communications
Reflective accounts
Feedback from test subjects

Although the portfolio will reflect the design process in action, a descriptive step by step journal type account is best avoided. It should be equivalent to 4000 words, although it is accepted that this only a rough guide. The effort put into the design itself is considered part of the assignment.

( all information will be uploaded in files )

Discuss any identified risks she poses during the intraoperative and post-operative period

/in /by

Case Study 1 Daisy
Background information
Daisy is a 70-year-old widow who lives alone. She has a fairly active life doing part-time volunteer work for the CWA and local heritage museum. Her daughter lives nearby and works full time. She relies on Daisy to look after her 3-year-old son on Fridays. Daisy is a non-smoker; occasional social ETOH drinker (1 – 2 standard drinks) though was a moderate risk consumer of ETOH in her middleage.

Health history:
•Hypertension
•Hyperlipidemia
•Mild obesity
Surgical: hysterectomy at 42 years of age

Diet: Does some cooking but prefers instant microwave meals. Enjoys a daily pastry or cake from the local bakery.
Exercise: Recently started walking every 2nd morning following GP advice to lose weight. Minimal exercise for last 30 years.

Medications
•Perindopril 5mg daily
•Atorvastatin 20mg daily
•Aspirin 150 mg daily
•Progynova 2mg daily

Daisy was recently diagnosed with colorectal cancer following complaints of lethargy, abdominal discomfort and episodes of frequent diarrhoea. She was admitted to hospital for elective surgery to remove the tumour and required the formation of a temporary colostomy. On day two postoperatively, Daisy complained of sudden dizziness and palpitations. Her nurse found that she was tachycardic and hypotensive and called a Rapid
Response.

Vital signs:
•Pulse 130-150 irregular
•BP 100/65

•RR 24
•SpO2 98% on 2L NP.
•Temp 37.2
PCA – moderate wound pain
Following the Rapid Response, Daisy was transferred to the High Dependency Unit for treatment and monitoring.

Part A
You are the RN working in the HDU and accept Daisy into your care. Discuss your nursing management for Daisy on her admission to the unit. Your response should be evidence-based
demonstrated by an engagement with the literature and any relevant guidelines. In your discussion, include:
•The assessments you would do to gather data regarding her cardiovascular status
•The interventions that you would anticipate to investigate and treat atrial fibrillation with a focus on your role and responsibilities as an RN.
Your Response (approx 300 words)

On your next shift you have been allocated two HDU patients to care for, one of them is Daisy. Over the preceding 24 hours, Daisy has required several IV fluid boluses to maintain her mean arterial pressure above 65 mmHg. She has had an arterial line inserted to allow continuous blood pressure monitoring and blood samples to be taken. On your initial assessment of Daisy you notice that her respiratory rate is 28 bpm and her SpO2 is reading 92% despite being on a Hudson mask at 6L/min.

Discuss your immediate interventions, including:
•Further assessments that could gather data regarding her respiratory status.
•Interventions that you would anticipate to manage and treat pulmonary oedema.
Your Response (approx. 300 words)

Part B
Two weeks later Daisy has recovered from her surgery and has had no further complications. She has spent ten days on the surgical ward and is coping with caring for her colostomy. During her recovery, Daisy was informed that she may have had a small myocardial infarction post-operatively and that she should have a coronary angiogram in a few weeks.
You are the nurse caring for Daisy over her last couple of days in hospital. Discuss her discharge plan including a focus on:

•Education on what a percutaneous cardiac intervention (PCI) involves
•Daisy’s cardiovascular disease risk factors
•A chest pain action plan.
Your Response (approx. 750 words)

Case Study 2 Margaret
Background Information
Margaret is a 56 year old lady who lives with her husband. Due to worsening osteoarthritis Margaret is waiting to undergo a right total knee replacement (TKR). When Margaret was first referred to the orthopaedic surgeon, 14 months ago she was told that due to her weight she wouldn’t be placed on the waiting list due to both the surgical risks and the expected success of the operation. At this time Margaret had a body mass index (BMI) of 40 (height 168cm, weight 113.4kg) and was told by the surgeon that she had to bring her BMI down to 35 (weight 97.5kg) before he would consider operating.
Margaret has worked hard to lose the weight but is now suffering extreme pain in her right knee which is preventing her from losing any more weight as her mobility is considerably restricted. Margaret has seen the orthopaedic surgeon again following a further referral from her GP. Her BMI is currently 37 (weight 104.3kg) and he has agreed that he will operate on her.

PC: Osteoarthritis right knee, on waiting list for a right total knee replacement.

HPC: Has been suffering with osteoarthritis in the right knee since 2011, this has been getting gradually worse and Margaret is now in severe pain and has a restricted functional ability.

PMH:
Morbidly obese
Hypertension
Gastro-Oesophageal Reflux Disease (GORD)
Depression
No previous surgical history
DH:
Ramipril 5mg OD
Lansoprazole 15mg OD
Amitriptyline 100mg nocté
Glucosamine (OTC)
Chondroitin (OTC)
No known drug allergies

FH:
Father died following an MI aged 67years
Mother has CHD, alive
Has 1 son, alive and well, lives nearby
PSH:
Works from home as a book keeper Lives with husband (Barry, 60years) who works as a truck driver Enjoys socialising with family and friends, although can’t go out as much now due to pain and
restricted mobility. Attends church twice a month (Anglican)
Ex-smoker, gave up 2 years ago (30 pack years)
Occasional ETOH (approx. 6 units per week)
Vital Signs (on referral):
Pulse: 84 bpm regular
BP: 146/90 mmHg
RR: 19 bpm
SpO2: 98% on room air
Temperature: 36.7C

Part A
You are the RN carrying out Margaret’s pre-operative assessment prior to her surgery. Discuss your pre-operative nursing assessment of Margaret. Your response should:
Discuss any identified risks she poses during the intraoperative and post-operative period Discuss particular actions, assessments, diagnostics or referrals that may be needed to ensure her safety and well-being is maintained during surgery and throughout her stay on the ward.

Your response should be evidence-based demonstrated by an engagement with the literature and any relevant guidelines.
Your response (Approx 750 words)

Part B
All surgical patients are at risk of developing a surgical site infection (SSI), however Margaret could be considered at a higher risk due to a number of factors; including being obese and the nature of her surgery (orthopaedic joint replacement). Using the literature critically discuss whether Margaret is indeed at a higher risk of developing a SSI and present the nursing assessments and actions to minimise this risk. Your response must be discussed in relation to Margaret’s case and it must also demonstrate a clear link to how you will take this knowledge into practice.
Your response (Approx 700 words)

There are many forces that impact health delivery systems. Choose one aspect that influences how health delivery systems are challenged, and describe the issue.

/in /by

Instructions

Examples include, but are not limited to, access to care, quality health care improvement, lack of coordinated care, continuity of care (medical home), etc.

After reviewing the Logic Model Development Guide from the readings, create a logic model for a new program you would like to fund to address this impact on the health delivery system. Discuss how the program can be applied to reduce the impact on the health delivery system.

Requirements

The paper and included logic model should be at least 975 words in length.
Include a list of references in APA format, including the information used from the modules.