What advice would you give to someone who is struggling with coding for the Obstetrics section?  What are some of the things he/she should be mindful of?  What do you think makes obstetrics coding different from other coding sections?What advice would you give to someone who is struggling with coding for the Obstetrics section?  What are some of the things he/she should be mindful of?  What do you think makes obstetrics coding different from other coding sections? 100 words is good for this

Match the section and root operations with the description.

 

Pregnancy with abortive outcome

 

Supervision of high-risk pregnancy

 

Edema, proteinuria, and hypertensive disorders in pregnancy, childbirth, and the puerperium

 

Other maternal disorders predominantly related to pregnancy

 

Maternal care related to the fetus and amniotic cavity and possible delivery problems

 

Complications of labor and delivery

 

Encounter for delivery

Complications predominantly related to the puerperium

Other obstetric conditions, not elsewhere classified

Not elsewhere classifiable

A.O09

B.O20–O29

C.O9A

D.O94–O9A

E.O00–O08

F.O85–O92

G.O80, O82

H.O10–O16

I.O60–O77

J.O30–O48

Question 3 

Discuss the Obstetrics section of the ICD-10-PCS. Explain the history and layout, and describe a code out of the section.

Your response must be a minimum of 200 words in length.

Question 4

Discuss the Placement section of the ICD-10-PCS. Please give an example procedure. Code for the procedure, and explain the procedure in detail. You can use a variety of options to explain such as the device being used and/or the method of approach.

Your response must be a minimum of 200 words in length.

                               Competency Assignment 2

Personal Health Records (PHRs) are designed to give consumers access and control of their health information.  PHRs are tools that give consumers a view of their health care data, either from information they have entered, information linked to their health care provider, or information generated from insurance claim data.

As Personal Health Records (PHRs) proliferate, the consumer is faced with many choices.  PHRs offered through insurance plans and employers limit the consumer choices but they do provide links to clinical data.  Stand-alone web-based PHRs offer more features but with little interface to the patient’s current clinical information.

While there are numerous Personal Health Record products available, the industry is still at an introduction to growth stage.  There are no established standards such as those available with electronic medical records and no agency that certifies the offerings.  The consumer must rely on their own criteria in choosing a product.

Some of the criteria that have proven to be critical for electronic medical records and for health web site services can be combined to apply them to PHRs.  They include: privacy, security, usability, portability, completeness, vendor reliability, and access/availability.

1. Availability/Access:  This refers to the consumer’s ability to access and manage their personal record via the Web.  Access also includes minimal accessibility standards defined by the W3C and by federal laws (508 compliance).
2. Completeness: This refers to the information fields available in the records.  The basic PHR should capture, demographics, health behaviors, social history, family health history, allergies, medications, lab results, past medical care, current existing conditions, physician information, insurance information, etc.
3. Privacy: Web site has published privacy policy that protects individually identifiable information (no disclosure without consent).  Privacy refers to policies that protect the unauthorized secondary usage of information.  The PHR should indicate if it meets HIPAA security requirements.
4. Security: This refers to the technical protections available on the system including passwords, authentication mechanisms, secure connections, etc.  In an ideal situation, the site should have a consumer-accessible audit log to see who has viewed the information.  The site should also provide details of if/when the consumer is notified about breaches of security.  Are you aware of the site security through policies and symbols?
5. Usability: This refers to the features available on the site. The PHR should provide the ability for a non-technical or not IT-related individual to easily join, navigate, and enter information. The level of jargon on the site as well as navigation links can influence the perceived usage.  A novice user should be able to successfully complete registration, information entry, printing, saving, and information retrieval. Is there help or support available? Is the information presented using “common language” or is it full of jargon (Basically, can you grandmother understand it? Can someone with an 8th grade reading level understand it?)
6. Portability: This refers to the consumer’s ability to move records out of the current provider to others.  This feature can be both via paper or electronic. Is the information portable – do you have to print it?  Can you electronically download any of the information?  Can you email the information?
7. Vendor reliability: This refers to the reliability and history of the vendor.  A new service may not have the ability to continue business operations and has a high chance of closure.  Vendors linked to or partnering with sponsoring national organization provide more stability.

Use the criteria provide to evaluate, search for a PHR.  You may be able to use the one affiliated with YOUR HEALTH INSURANCE (now is a good time to find out if they have one). Or, you can find one from http://myphr.com

Write a report that includes:

1. Overview of the PHR
2. Who is the target consumer?
3. Evaluation of the PHR using the 7 listed criteria (a paragraph on each)
4. Recommendations for improving the PHR
5. Conclusion

please use articles from reference page provided

A.  Write a brief summary (suggested length of 2-3 pages) of the significance and background of a healthcare problem by doing the following:

1.  Describe a healthcare problem. Note: A healthcare problem can be broad in nature or focused.
 2.  Explain the significance of the problem.

3.  Describe the current practice related to the problem.

4.  Discuss how the problem impacts the organization and/or patient’s cultural background (i.e., values, health behavior, and preferences).
 B.  Complete the attached PICO Table Template by identifying all the elements of the PICO.

1.  Develop the PICO question.
 C.  Describe the search strategy (suggested length of 1-2 pages) you used to conduct the literature review by doing the following:

1.  Identify the keywords used for the search.

2.  Describe the number and types of articles that were available for consideration.

a.  Discuss two research evidence and two non-research evidence sources that were considered (levels I-V).

D.  Complete the attached Evidence Matrix to list five research evidence sources (levels I-III) from scholarly journal sources you locate in major medical databases.

Note: You may submit your completed matrix as a separate attachment to the task or you may include the matrix within your paper, aligned to APA standards.
 E.  Explain a recommended practice change (suggested length of 1-3 pages) that addresses the PICO question within the framework of the evidence collected and used in the attached Evidence Matrix.

F.  Describe a process for implementing the recommendation from part E (suggested length of 2-3 pages) in which you do the following:

1.  Explain how you would involve three key stakeholders in the decision to implement the recommendation.

2.  Describe the specific barriers you may encounter in applying evidence to practice changes in the nursing practice setting.

3.  Identify two strategies that could be used to overcome the barriers discussed in F2.

4.  Identify one indicator to measure the outcome related to the recommendation.
 G.  Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

Candace Kapranos 

Monday 

Feb 18 at 12:17am

 

Manage Discussion Entry 

Nephrolithiasis is the growth of a kidney stone in the kidney or the lower urinary tract. There are four different stones that can form during this disease. The first is calcium salts (75%-85%). These types of stones are predominantly in patients with a high salt  diet, animal fat, animal protein, and oxalate from green leafy vegetables. A low calcium diet is a risk factor also which leads to oxaluria. The second stone is struvite (10%-20%) and predominantly found in women. They occur when the urine is alkaline (pH greater than 7.0) and a urea-splitting organism such as Proteusor Klebsiellais present (Dunphy, Wineland-Brown, Porter, & Thomas, 2015). Uric acid (7%) are formed when there is increase in uric acid such as the disease gout. It may also result from acidic urinary pH, significant bicarbonate loss, regional enteritis, hereditary factors, or ulcerative colitis. Lastly, cystine (1%-2%) which are created from autosomal recessive disorder called cystinuria. These may form in the kidney, bladder, and ureters. It rarely causes kidney failure. Diet considerations from certain cultures eating lifestyle may increase or decrease the risk for Nephrolithiasis. Vegetarianism has been shown to protect against calcium stone formation in some studies; However, excessive oxalate intake from green, leafy vegetables can cause stones in patients with hyperoxaluria (Wells, 2000). Excessive protein probably contributes to stone formation in 2 ways: by excess purines possibly leading to uric acid stones and by the observed hypercalciuric effect that develops from protein loads; a global reduction of protein, particularly animal protein, is typically recommended, with the daily protein intake suggested at 60 g/day (Wells, 2000). Other considerations such as lack of fluid and obesity can also be factors.

References

Dunphy, L., Brown, J., Porter, B., & Thomas, D. (2015). Primary Care: The Art and Science of Advanced

Practice Nursing. Philadelphia: F.A. Davis Company

Wells, Ka. (2000). Nephrolithiasis with unusual initial symptoms. Journal of Manipulative & Physiological 

Therapeutics, 23(3). Retrieved from https://6o306a7b1-mp01-y-https-web-b-ebscohost-com.prx-

 (Links to an external site.)

Links to an external site.

herzing.lirn.net/ehost/detail/

 

hi dear,

can help me to finish this assignment with good quality and be on time please?

Please follow the instructor carefully. There are 2 Discussions ,your response to classmates should be at least one paragraph for each Discussion, address the discussion topic or question, be respectful, and add to the discussion. You may draw upon personal experience, course or scholarly references, citing appropriately. Restating the primary response, or agreeing or disagreeing without supporting statements will result in a lower grade. 

In reference to including a paragraph for both primary and peer responses, 4-5 sentences constitute a paragraph.

 Discussion one, 

  The Clean Air Act is a federal law that was created over 40 years ago in the United States. It helps to control air pollution nationally and protect citizens from air pollution that may be hazardous to their health. Globally it is one of the most comprehensive laws focusing on air quality. Currently congress is working to block the EPA’s efforts from protecting the health of the public and delaying their work in blocking life-threatening air pollution. I was able to submit a letter to senators via the APHA website in opposition of congress hindering the EPA’s abilities to enforce the Clean Air Act.The stakeholders in this issue are literally anyone in the United States who is breathing. While some individuals, such as those in higher pollution areas, are going to be more affected than those in rural areas, everyone is affected by the issue. By creating this page for citizens to speak up, a platform is being opened as well for those who may want to take further action than submitting a letter. Coalitions could be form in opposition of the actions congress is taking that are risking the health and lives of millions of individuals.

Discussion Two,

I selected the American Public Health Association. The APHA is an organization that is dedicated to improve the health and wellbeing of the public. They publish a journal and a newspaper to share the newest information in the public health world. Oftentimes this news includes current campaigns and legislative actions to urge readers to write and ask policymakers to vote and act of certain policies. Current polices that the APHA is hoping members voice their opinions are the opposition of Trump’s administration proposal on the current public health crisis, the Protect the Clean Air Act, support of paid sick leave, and many more. When a member clicks on one of the policies to voice their opinion, they are able to read more information on the topic, read a standard message to congresspersons, and then compose their own message to congress.

One method that the APHA utilizes to communicate the best possible message to congress members is by allowing members to send a tailored message (with the option to personalize the message) that states specifically what the APHA is backing on the policies. For instance the message for the Protect the Clean Air Act has a clear message that states that the APHA wants congress members to reject any measures that would not allow the EPA to protect the public from air pollution, then after the unchangeable message members are able to either personalize or send a standard message that supports or gives more research/opinion behind why congress should not hinder the EPA protecting the public from air pollution.

Thanks,