Identify a healthcare organization that has been significantly impacted due to low quality organizational performance in one or more areas.

Write a 700- to 1,000-word paper that integrates standards of the field and ethical principles into the problem solving process by including the following aspects:

•In what area did the organization display a less than desirable quality of performance (financial, operational, clinical)? •From what you read, what type of organizational culture seemed to exist? •What strategic planning efforts would you put into place as the leader, to help reorganize? •What performance measurement tools would you use? •Who would be your stakeholders in the reorganization efforts?

Include a minimum of three peer-reviewed references, not including the textbook.

Part 2:

Write a 400- to 600-word paper and include the following:

You are the business manager of a fifteen-physician group practice in family medicine that has proposed to open a satellite clinic on the periphery of its current market area in order to increase the number of families that it serves. The clinic will be located in an area of somewhat older, rundown homes that seem to be undergoing slow but steady gentrification. The clinic initially will be staffed with three physicians and has a maximum capacity of ten doctors.

One of your responsibilities under the strategic plan to create the clinic is to establish a modest program for keeping track of the factors and variables that might affect the success of the clinic. Prepare a list of ten quality indicators ( 5 financial and 5 operational) that you purpose to monitor, including the sources you will use to gather the necessary data. For each one of the metrics, indicate the directions in which they might change and the adjustments in the plan for the new clinic that would be necessary.

Take care to iintegrate standards of the field and ethical principles into the problem solving process.

Include a minimum of two peer-reviewed references, not including the textbook.

Discussion 2: Anaphylactic Shock

 

The treatment of anaphylactic shock varies depending on a patient’s physiological response to the alteration. Immediate medical intervention and emergency room visits are vital for some patients, while others can be treated through basic outpatient care.

 

Consider the January 2012 report of a 6-year-old girl who went to her school nurse complaining of hives and shortness of breath. Since the school did not have any medication under her name to use for treatment and was not equipped to handle her condition, she was sent to an emergency room where she was pronounced dead. This situation has raised numerous questions about the progression of allergic reactions, how to treat students with severe allergies, how to treat students who develop allergic reactions for the first time, and the availability of epinephrine in schools. If you were the nurse at the girl’s school, how would you have handled the situation? How do you know when it is appropriate to treat patients yourself and when to refer them to emergency care?

 

To prepare:

 

• Review “Anaphylactic Shock” in Chapter 23 of the Huether and McCance text, “Distributive Shock” in Chapter 10 of the McPhee and Hammer text, and the Jacobsen and Gratton article in the Learning Resources.
• Identify the multisystem physiologic progression that occurs in anaphylactic shock. Think about how these multisystem events can occur in a very short period of time.
• Consider when you should refer patients to emergency care versus treating as an outpatient.
• Select two patient factors different from the one you selected in this week’s first Discussion: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you .selected might impact the process of anaphylactic shock.Post 1 page paper on an explanation of the physiological progression that occurs in anaphylactic shock. Then, describe the circumstances under which you would refer patients for emergency care versus treating as an outpatient. Finally, explain how the patient factors you selected might impact the process of anaphylactic shock.

   

  References/ RESOURCES

 

• Huether, S. E., & McCance, K. L. (2012). Understanding pathophysiology (Laureate custom ed.). St. Louis, MO: Mosby.
  • Chapter 23, “Alterations of Cardiovascular Function 

 

• McPhee, S. J., & Hammer, G. D. (2012). Pathophysiology of disease: An introduction to clinical medicine (Laureate Education, Inc., custom ed.). New York, NY: McGraw-Hill Medical.
• Chapter 10, “Cardiovascular Disorders: Heart Disease”
• Jacobsen, R. C., & Gratton, M. C. (2011). A case of unrecognized prehospital anaphylactic shock.Prehospital Emergency Care,15(1), 61–66.Retrieved from the Walden Library databases.