hi dear,

I just need to 2 responses to the Discussions, and about 100 words for each responses.

  

1. I chose the population of children under the age of 6 and I chose the Safety by Room checklist. I reviewed my family room, kitchen, and bedrooms; I was able to cross off each area on the check list. The modifications I would need to make would be in my bathrooms, backyard, and in my garage. In my bathrooms I don’ t have any anti-scalding devices on the faucets, locks on the toilet or cabinets, or non-skid rugs. In my garage I would need to install a carbon monoxide detector and in my backyard I would need to install a lock on my hot tub. Currently I do not have any children of my own so this isn’t a large concern of mine as there aren’t young children that live with me. I do have younger brothers that are under 10 years old so there are a few changes I would want to modify as they do come visit occasionally.

 

2. What is the role of Cal-Osha?  The role of Cal-OSHA is to set health and safety standards, enforce those standards, and provide education and outreach, certifications and licensing for all workers in the state of California.   As part of enforcing the standards, they are responsible to respond to complaints of unsafe practices and they cite and fine organizations based on the set standards.  They maintain and provide some general safety guidelines that apply to all places of employment in California along with some guidelines for specific types of industry such as the the agriculture or film industries.  Additionally, they also regulate the safety of those riding in public conveyances; such as elevators, trams, or amusement park rides.

    I selected a citation issued to Butler Amusements Inc. that operated rides for the Big Fresno Fair in Fresno, California in OCT 2013.  They were cited on 3 violations relating to the same thing, which was basically unsafe operation of 2 rids and “failure to maintain equipment according to manufacturers” guidelines.  These violations were considered”Serious Willful” violations because the owners knowingly removed or left off some parts that maintained stability of the rides. Their overall fine was $101,250.00 and it seems they fixed the issues. I am uncertain if that was a significant fine because the citation did not mention if there were any injuries or fatalities as a result of the violation. 

Throughout the year, and with California weather being so nice, one can encounter a number of these fairs popping up in most cities in California and all having some form of ride or another.  Many people flock to these fairs, which seem to be reminiscent of decades-past travelling circus, and reviewing this citation brings to mind something that I previously did not truly consider.  Although most people are aware that these events/fairs need to register and have permits for for holding their events, I for one don’t think that one would readily consider if the rides are being inspected or held to any major safety standard.  We all know that we want them to be fun and safe, and if something does go wrong with a ride, we would likely sue or complain to management. But to think that it would be a requirement to answer to the State’s Occupational Safety and Health Administration would not be something I would consider, until now.   Considering how many people these fairs attract, the money that is spent there (especially if you have children), and the potential for injury or harm, perhaps it would be good to ensure the public is aware and able to confirm/verify that at least the minimum safety standards are being followed and met, before we place our lives, or lives of our family members/friends in the hands of the fair operators.

thanks,

What do the four parts of the Christian biblical narrative (i.e., creation, fall, redemption, and restoration) say about the nature of God and of reality in relation to the reality of sickness and disease? From where would one find comfort and hope in the light of illness according to this narrative? Explain in detail each part of the narrative above and analyze the implications.

 

Project 2: Promoting Health Care Quality

Section 4: Quality Improvement Strategies

Throughout this course you have been considering the relationship between structure, process, and outcomes as it relates to health care quality. Looking at outcomes, alone, may not tell the “whole story.” For instance, if you are concerned with improving fall rates, evaluating the process—related activities or practices—can help you identify factors that contribute to outcomes and develop strategies for improving them.

For this section of your Course Project, you create a process map to examine a current process related to your quality improvement issue. You will use the results of the process mapping to redesign a process to help minimize or close the performance gap(s). As you proceed, keep in mind the importance of maintaining a patient-centered focus so the patient experience is not negatively affected by any changes in process.

To prepare:

• Review the instructions provided in the Learning Resources for creating a process map.
• With your quality improvement issue in mind, as well as the other work you have completed on your Course Project thus far, think about how creating a process map could help you to better understand your quality improvement issue and redesign an associated process.
• Create a process map using Microsoft Word or PowerPoint.
• Refine the strategies for promoting systems-level change to minimize or close the performance gap(s) that you began to think about in Week 7. As part of this, identify a way to redesign at least one process based on your analysis of the process map that you have created.

To complete:

• Write a 2- to 3-page paper in which you describe quality improvement strategies that you selected related to your quality improvement issue.
• Finalize your process map, which will be submitted along with the paper.

 

Required Readings

Cookson, D., Read, C., Mukherjee, P., & Cooke, M. (2011). Improving the quality of emergency department care by removing waste using Lean Value Stream mapping. International Journal of Clinical Leadership, 17(1), 25–30.
Retrieved from the Walden Library databases.

This article demonstrates how a process map can be used to identify waste and promote efficiency, particularly in large departments.

Ford, J. H., Wise, M., & Wisdom, J. P. (2010). A peek inside the box: How information flows through substance abuse treatment agencies. Journal of Technology in Human Services, 28(3), 121–143.
Retrieved from the Walden Library databases.

The authors of this article establish the importance of using process maps for improving productivity and information flow.

Abubakker, H. T. (2010). Practical guide to creating better looking process maps. Retrieved from http://www.isixsigma.com/tools-templates/process-mapping/practical-guide-creating-better-looking-process-maps/

iSixSigma’s website offers a practical guide with many tips for creating an easy-to-follow process map.

NHS Institute for Innovation and Improvement. (2010). Quality and service improvement tools: Process mapping—an overview. Retrieved from http://www.miltonkeynesccg.nhs.uk/resources/uploads/files/NHS%20III%20Handbook%20serviceimprove.pdf

The NHS article outlines the importance of process maps and provides a detailed description of how to create a process map.

Business Ideas for Nurse Practitioner Entrepreneurs Presentation 

Nurse practitioners can practice in many locations and can be a clinical practice as well as a consulting business, educational business. Read through the list and use it to develop your own business plan presentation. The presentation must have no more than 15 slides including the title and reference page and must have the following headings:

1. Concept Statement: What are the benefits of your product or service? Presenting the practice idea, reason for selecting this area and summarizes the general plan.
2. Marketing Plan: What is the target market and how will you penetrate it? Presents the need for the practice, who it will be marketed to and why that group. Present a sample of a marketing strategy (i.e. magazine, tv or radio ad)
3. Development: How will you develop and produce the product or service? What are the risks of the venture and what can you do to reduce these risks?
4. Finance & Accounting: What are the financial implications of the plan? What resources, including funding, are required to successfully create the business plan? Show how you will support the business (billing). Expenses, contracts, building space et.  
5. Legal Considerations: Identify any legal considerations the business team might foresee. Collaboration, protocols, state regulations, local regulation, licenses, certifications needed the business.

Please see the file attached for complete information and requirements for this presentation.  

  

Professional mentorship has been identified as an important component of professional engagement, professional growth, and advancement. Consider your own professional journey. Has a mentor shaped your professional advancement? Share a mentor experience from your personal or professional life. What benefits did the experience offer you? How might you mentor other providers seeking to advance in your discipline? (250-300 words)

  

Not all EBP projects result in statistically significant results. Define clinical significance, and explain the difference between clinical and statistical significance. How can you use clinical significance to support positive outcomes in your project? (250-300 words)