CMS is trying to shift away from a simple fee-for-service delivery system to one that not only better controls costs but also improves care quality. In particular, it is categorizing payments to providers as shown in this table (click it to download a PDF): ( If the picture does not open than please download the picture in the bottom where the attachment download)

Look through the CMS Value-Based Programs (Links to an external site.)Links to an external site. (https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/Value-Based-Programs.html) 

 website to learn about this (it includes the image above, as well as descriptions).

Then, in a Word document, write 3 – 5 paragraphs to describe how categories 2, 3, and 4 will change the reimbursement process. You may want to do research on the categories to learn more about them. Think about these questions:

What new kinds of information will medical providers have to provide?

How might the payment model change the way that patient care is managed?

What problems might occur for providers trying to adapt to the new models?

Describe your vision of your role as an APN

1. Tell me why you decided to pursue and Advanced Practice major? 
2. What is the role of the advanced practice nurse? 
3. What is the evidence suggesting regarding the role of FNPs in primary care? 
4. What do you think Family Nurse Practitioners could do differently to improve patient outcomes? Is EBP the answer? Give specific examples.
5. What do you think are the Skills & Personality Traits to be a  Successful Nurse Practitioner?

Please answer each question by separated and a posting with a minimum of 300 words, references at least 3 from 2014 to present.

For each day that you volunteer, create a new journal entry in which the first line is the day, date, and time period that you worked that day. Please put this information in bold font. Write a paragraph that describes the type of duties you carried out that day (what you did, who else was there, whether you were a part of a team or were working alone, etc.). Once each week, focus on one particular event or aspect of your work that week and describe why you found this particular task or event to be unusual or of special interest. In a 250-300-word entry, relate this aspect of your volunteer experience to some specific knowledge that you have previously gained in your coursework to this point.

APA format is not required, but solid academic writing is expected.

You are not required to submit this assignment to LopesWrite.

1. Compare and contrast definitions of health from a public health nursing perspective.

2. Explain the difference between public/community health nursing practice and community-based nursing practice.

3. Discuss major contemporary issues facing community/public health nursing and trace the historical roots to the present.

4. Discuss and explain the steps to identified/diagnosed community health problems.

*** 600 words!!! 

As stated in the syllabus please present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion board name “Week 1 discussion questions”.  A minimum of 2 evidence-based references is required (not counting the class textbook) no older than 5 years.

Discussion: Using Emotional Intelligence and Appreciative Inquiry to Promote Quality

 

Through communication—inquiry and dialogue—every person makes a contribution, and by being involved in the process, people can shift their attention and action away from a problem-oriented focus to dreams that are worthy to them and to productive possibilities for the future.

 

—Watkins & Mohr, 2001

 

Without a doubt, promoting health care quality and patient safety presents a meaningful aim.

To achieve this goal, nurse leader-managers need to be able to evaluate a situation from many different viewpoints and frame questions that elicit valuable insights. They must be able to promote skillful problem solving and interdisciplinary teamwork.

In this Discussion, you examine how you can use emotional intelligence and appreciative inquiry to facilitate positive changes that lead to improved quality and safety. 

 

To prepare:

 

Review the information on emotional intelligence and appreciative inquiry presented in this week’s Learning Resources.

If you have not already done so, follow the instructions in the course text, Emotional Intelligence 2.0 to complete the online assessment.

Consider the results of the assessment. Review your strengths and opportunities for growth related to self-awareness, self-management, social awareness, and relationship management. What insights, questions, or concerns arise as you think about these results?

 

Think about how your identified emotional intelligence strengths and opportunities for growth relate to your current role as a leader-manager and to the professional contributions that you hope to make now and in the future. Give focused attention to patient safety and health care quality. How and why is emotional intelligence valuable for promoting optimal patient outcomes and creating systems-level change?

As indicated on pages 53–55 of the Bradberry and Greaves text, develop a plan for improving your skills in one area of emotional intelligence. Evaluate strategies for applying your strengths in the workplace. Identify at least two that you can use to add value to a team or workgroup to improve quality and safety.

Also review the information on appreciative inquiry in this week’s Learning Resources. Have you used appreciative inquiry before? If so, how? How does the application of appreciative inquiry relate to your role as nurse leader-manager and/or to efforts to promote health care quality?

Reflect on your experiences working in health care and identify an issue or problem that required, or requires, a change. Consider how you could apply emotional intelligence and appreciative inquiry strategies to this situation to facilitate positive results that lead to improved quality.

 

Post a brief description of an issue or problem in a health care setting that required, or requires, a change. Explain how you, as a nurse leader-manager, could apply both emotional intelligence and appreciative inquiry strategies to address this issue and facilitate positive results that lead to improved quality.

 

 

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

Ask a probing question, substantiated with additional background information or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Validate an idea with your own experience and additional resources.

 

Required Readings

 

Bradberry, T., & Greaves, J. (2009). Emotional intelligence 2.0. San Diego, CA: TalentSmart.

Chapter 1, “The Journey” (pp. 1–12)

Chapter 2, “The Big Picture” (pp. 13–22)

Chapter 3, “What Emotional Intelligence Looks Like: Understanding the Four Skills” (pp. 23–50)

The first three chapters of this book introduce foundational concepts related to emotional intelligence, and provide the background for the online assessment that you will take in preparation for this week’s Discussion. In addition to these chapters, you should read the rest of the book once you have completed the assessment.

 

Note: You must purchase a new, unopened copy of this book in order to acquire the access code that you will need to complete the online assessment.

Sadeghi, S., Barzi, A., Mikhail, O., & Shabot, M. M. (2013). Integrating quality and strategy in health care organizations, Burlington, MA: Jones & Bartlett Publishers.

Chapter 1, “Understanding the U.S. Healthcare System” (pp. 1–30)

 

This chapter sets the context for understanding quality-related issues within the U.S. health care system (macroenvironment). The authors discuss health care access and costs, which may be viewed as part of a triad with quality.

Ingram, J., & Cangemi, J. (2012). Emotions, emotional intelligence and leadership: A brief, pragmatic perspective. Education, 132(4), 771–778.

Retrieved from the Walden Library databases.

Nel, H., & Pretorius, E. (2012). Applying appreciative inquiry in building capacity in a nongovernmental organization for youths: An example from Soweto, Gauteng, South Africa. Social Development Issues, 34(1), 37–55.

Retrieved from the Walden Library databases.

 

This article examines how appreciative inquiry can be used to foster meaningful change in organizations. It outlines the principles of appreciative inquiry and the four phases: discovery, dream, design, and delivery.

Sadri, G. (2012). Emotional intelligence and leadership development. Public Personnel Management, 41(3), 535–548.

Retrieved from the Walden Library databases.

 

Emotional intelligence has been proposed as a key element of leadership. This article examines that argument, with attention to how and why it has been challenged.

 Copperrider, D. L., & Godwin, L. N. (2010). Positive organization development: Innovation-inspired change in an economy and ecology of strengths. Retrieved from http://appreciativeinquiry.case.edu/intro/comment.cfm

 

The authors present a framework for Innovation-Inspired Positive Organization Development (IPOD), which draws from appreciative inquiry.

Required Media

Laureate Education (Producer). (2013c). The importance of emotional intelligence. Retrieved from https://class.waldenu.edu

 

Note:  The approximate length of this media piece is 5 minutes.

 

Dr. Kenneth Rempher shares insights on the importance of emotional intelligence for health care leaders. He also discusses using appreciative inquiry to address health care quality concerns.

 

 

Accessible player  

Optional Resources

 Cooperrider, D. L., & Whitney, D. (n.d.). A positive revolution in change: Appreciative inquiry. Retrieved March 18, 2013, from http://appreciativeinquiry.case.edu/uploads/whatisai.pdf

 Momeni, N. (2009). The relation between managers’ emotional intelligence and the organizational climate they create. Public Personnel Management, 38(2), 35–48.

Retrieved from the Walden Library databases.