1) Discuss at least two implications of health care reform on the health care organization’s goals and strategic plan. How will processes and operations need to be adjusted to meet the requirements of health care reform legislation?

2)Evaluate the “Comprehensive Organizational Plan” presented by Oetjen and Rotarius. Is this model suitable for any type of health care organization? Discuss the implications of the model on the ability of health care managers to contain cost, preserve quality, and promote universal access.

3)Compare and contrast at least two methods of assessing health care organizations’ operational needs and explain how they differ based upon a particular health care setting.

4)What is the purpose of a balanced scorecard? How is the balanced scorecard used to lead and manage an organization? How can the balanced scorecard be linked to organizational effectiveness as well as individual performance evaluation?

5)Describe the effect of higher levels of medical spending, profitability, and fiscal margins on process quality for health care organizations. Indicate the role of financial stability in health care organizations on their ability to adequately resource the staffing, equipment, and infrastructure that support care delivery. Specifically, what is the effect of financial flexibility in increased use of preventative and wellness measures and lower length of stay?

6)Discuss Pettigrew’s theory on the contextual dependency of strategic change. Explain the concept of the disciplining context and why medical professionals accepted and used it. Also, explain why the internal market system, which was implemented to solve financial problems, was abandoned.

    �R���

 Write at least 150 words and answer the following: Do you take vitamin supplements? Why or why not? Do you use “energy drinks” or use “vitamin” water? Why or why not? Locate a website that presents an unbiased review of the pros and cons of  energy drinks and/or vitamin  water (by unbiased I mean the website is not selling a product) and include an active link to  it in your comments. Remember that you need to read other posted messages and reply to at least one message in each forum 

Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance completing this assignment.

Communicable Disease Selection

Choose one communicable disease from the following list:

1. Chickenpox
2. Tuberculosis
3. Influenza
4. Mononucleosis
5. Hepatitis B
6. HIV
7. Ebola
8. Measles
9. Polio
10. Influenza

Epidemiology Paper Requirements

Address the following:

1. Describe the communicable disease (causes, symptoms, mode of transmission, complications, treatment) and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.
2. Describe the determinants of health and explain how those factors contribute to the development of this disease.
3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. (The textbook describes each element of the epidemiologic triangle). Are there any special considerations or notifications for the community, schools, or general population?
4. Explain the role of the community health nurse (case finding, reporting, data collecting, data analysis, and follow-up).
5. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organization(s) contributes to resolving or reducing the impact of disease.
6. Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example.

A minimum of three peer-reviewed or professional references is required.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

NRS427V-RS-CommunicableDiseaseChain.doc 

This is a Collaborative Learning Community (CLC) assignment.

In your Collaborative Learning Community, write a paper of 500-1,000 words that describes the national and international implications of the selected health issue. Include the following:

1. Scope and depth of the problem.
2. Countries that are faring better or worse than others.
3. How the United States ranks on this issue in relation to other countries.
4. Efforts of the World Health Organization and other agencies on this issue.
5. Existing disparities (include race, age, and gender, as appropriate) in relation to the issue: Describe the populations that have emerged as being disadvantaged and why.

Refer to “CLC Health Issue Analysis Overview.”

Resource 1: CLC Health Issue Analysis Overview 

Group work has benefits and liabilities. EVERYONE assigned to a CLC is expected to equally participate in the work in terms of time and quality of effort. Each participant has strengths and it is reasonable to apportion the work to make best use of this. Some are natural leaders. Our strengths can be our greatest liabilities: No one wants to be bossed around no matter how skilled the boss is. Honest communication is critical to effective group work. The best way to avoid conflict is to set very clear expectations up front. Then, if someone does not do what is expected him/her, he/she can be referred to the original agreement rather than have the confrontation become personal.

Course instructors are able to observe the group process in the CLC forum. If the work takes place outside the forum, this information will be absent. Be certain (even if communicating via e-mail, phone, or face-to-face) to record the communication in the CLC forum.

CLC Project Overview

The purpose of this assignment is to critically analyze a health care issue through the focus of major concepts from each Topic. There are six components to this assignment after the CLC agreement is signed and the topic is identified. It is not expected that every member of the CLC group will contribute to each assignment, but that assignments will be divided fairly and equally among the group. Each of the written components of the CLC project will be 500-1,000 words. These papers should be in APA format with a title and a reference page. An abstract is not required. An introduction is required ONLY for Part 1 and is not required in any parts thereafter. It is the intention that if one were to take the six parts of this assignment and put them together, a comprehensive and cohesive analysis would be produced. Part 1 is worth 3 points and each of the subsequent parts (2-6) are worth 4 points each. 

Topic 2 (10 points)

Initiate a conversation regarding potential topics of interest. This should be a health issue with national and international relevance that will be the basis for your final project. It may be helpful to identify a number of topics of interest and have individual group members do a quick survey of the literature to be sure that there is current information available. Revise the CLC Agreement with the choice of the topic identified in the title and re-submit the CLC Agreement. There is no formal writing requirement for the topic selection. It is merely a brief paragraph declaring your identified topic. 

I have attached topic 1 which is on influenza

INFLUENZA (Flu)

Diane Boll

Grand Canyon University: NUR 508

Date

Introduction

Influenza commonly known as flu is a contagious respiratory infection that attacks the general respiratory system that is, the nose, throat, and even the lungs. It is caused by the two types of influenza viruses which are influenza A, influenza B and influenza C (Wang & Tao, 2010). Attacks from both viruses are epidemic and seasonal as they are common within specific periods within a year. Attack mechanisms for influenza A viruses depends on the genes on the surface protein of a patient. They are normally spread through sneezing and coughing from an infected individual to the surrounding air (Wang & Tao, 2010).

The flu can also attack an individual in case they get into direct body tissue contact with an infected individual for example handshaking. Health professionals argue that the flu virus is stubborn and spreads mainly over tiny droplets which are produced when the infected individuals’ cough, talk, and sneeze (Wang & Tao, 2010). Such droplets are easily carried by the surrounding air and can be landed in the nose and mouths of the immediate persons. Additionally, it can enter into one’s system if he or she gets into direct contact with a surface or object that has the influenza bacteria and consequently rubs or touches their nose, mouth or even eyes (Wang & Tao, 2010).

Health departments have overtime identified initiative to address the problem of influenza, such initiatives include: 

Reducing human exposure to the flu viruses, this initiative works by notifying the public on the safe ways to prevent and control the spread of the virus and it actively works to reduce infection opportunities and curbs the spread of the pandemic virus (Abramson, 2011).

They have built able capacities to cope with the pandemic, measures have been taken and put in place to cope with the virus since helping the society to stay free from the virus (Abramson, 2011).

They have innovated much on early warning and acknowledgments, information about influenza and its impacts to the society are made clear since it is effective for the society to stay free from the influenza virus (Abramson, 2011).

Necessary global scientific researches are being carried out and developments to ensure that vaccines and antiviral drugs are available across the globe mostly during the seasons which the virus is spread. The scientific knowledge enables quick and effective identification of the virus at its initial stages (Abramson, 2011).

Several measures have been put in place to measure the progress of the issue. They include;

The World Health Organization has continuously carried out tests to identify cases of attack by the virus at its early stages that are in one to four days of an individual’s exposure to the influenza virus (Tam & Sellwood, 2013).

Materials enlightening the public about the virus and the most convenient ways to stay free from the attack are being developed and provisional with all measures that can help curb and salvage the situation (Tam & Sellwood, 2013).

The current status of the issue based on measures outcomes clarifies that the globe is well up and at a good place to overcome the spread of influenza viruses. This has been made possible by the continuous scientific researchers which develop antiviral drugs and vaccines which are work to stop the spread and impacts of the influenza virus upon the general society (Tam & Sellwood, 2013).             

                                                          References

Abramson, J. (2011). Inside the 2009 Influenza Pandemic. World Scientific Publishing Company, 2011.

Tam, J., & Sellwood, C. (2013). Pandemic Influenza. CABI, 2013.

Wang, Q., & Tao, Y. (2010). Molecular Virology. Horizon Scientific Press.

Week 5 Project Instructions

Creating a Plan of Care Utilizing the information you have gathered over the weeks regarding the specific illness group you identified, this week, you will create a plan of care for your chronic illness group.Create the plan in a 4- to 6-page Microsoft Word document (the 4–6 pages include the holistic care plan). Include the following in your plan: Start the paper with a brief introduction describing the chronically ill group you selected and provide rationale for selecting this illness and the participants. Clearly identify the Healthy People 2020 topic chosen and why this topic was chosen. You will want to compile the information gathered from Weeks 1–4 over 2 to 3 pages. This should be in APA format and paragraph form. This is not to be copied and pasted from previous assignments. It is to be a summary of each week. The paper should include the care plan for your chronic illness group organized under the following headings: Nursing Diagnoses Assessment Data (objective and subjective)Interview Results Desired Outcomes . Evaluation Criteria, Actions and Interventions, Evaluation of Patient Outcomes. You will need to ensure that the care plan is holistic and includes at least 3 nursing diagnoses related to the topic and interview results from the previous weeks. Include strategies for the family or caregiver in the care plan and provide your rationale on how they will work. Include a reference page to provide reference for all citations for the paper as well as the care plan. On a separate references page, cite all sources using APA format. Use this APA Citation Helper as a convenient reference for properly citing resources. This handout will provide you the details of formatting your essay using APA style. You may create your essay in this APA-formatted template.Submission Details Name your document SU_NSG4055_W5_A2_LastName_FirstInitial.doc.Submit your document to the Submissions Area by the due date assigned.