Word totals for each post should be in the 100-200 words range.  Whether you agree or disagree explain why with supporting evidence and concepts from the readings or a related experience.  Include a reference, link, or citation when appropriate. APA 6th edition format for references as well as in-text citations is expected.

Question to be discuss:  Elder abuse /end of life planning 

 I NEED THIS DONE THROUGH TEMPLATES PROVIDED<< THIS IS A NURSING BSN ASSIGMENT< APA STYLE. 

Access the following to complete this Assessment:

• Meeting Agenda Template
• Memo Template
• Email Template

In this assessment, you will create four different types of communication to ensure the protection of patient data and privacy: a meeting agenda, a staff memo, and two emails. Each of these will be in response to a short scenario. Read each scenario and first identify the issue that is being addressed related to patient privacy and confidentiality. Then, prepare a response using the specified method (agenda, memo, or email) that includes the following:

• Strategies for maintaining privacy of patient health information, and electronic health records, including the importance of safeguarding electronic health records (EHR)
• Identify technology resources that may be used to protect patient confidentiality and privacy
• Explain a nurse’s ethical duty when it comes to maintaining confidentiality of private patient information, and list possible implications of not maintaining patient confidentiality and privacy
• Explain the role of HIPAA in governing electronic health information and provide HIPAA guidelines for permitted use and disclosure of protected patient health information
• Evaluate the potential privacy, security, and confidentiality risks involved with using personal smartphones when providing nursing care
• List HIPAA guidelines that should be followed and possible technology used to help protect patient confidentiality and privacy

To complete this Assessment:

• Read the scenarios.
• Complete the templates to create a meeting agenda, a memo, and two emails of your own

Scenario 1:

A tragic car accident involving an A-list Hollywood actor happened near the hospital at which you work. A member of the care team at the hospital posted information about the actor on social media, which occurred prior to any public disclosure of information regarding the actor’s accident. In an attempt to avoid a similar episode at your hospital, you have decided to schedule a meeting with your staff to discuss the implications to patient privacy and confidentiality, including how these types of situations should be handled. You decided to draft an agenda in preparation.

The agenda should include a brief overview of the incident described above and the legal implications involved for the person who posted the information. The agenda should also include the following:

• A description of how a situation like this should be handled. Include any relevant laws or codes of ethics that apply.
• The importance of safeguarding patient information (no matter who it is).
• The technology or policy related to technology that could be used to protect patient privacy in this situation.
• Strategies you have used personally to protect patient health information.
• A list of resources for your staff to reference.

The agenda should be 1- to 2-pages in length.

Scenario 2:

A friend of yours has a family member who is a patient at the hospital where you work. Your friend approaches you and asks if you could obtain the latest lab results and physician notes for her family member. She explains that she cannot ask the family member directly because they have not spoken to each other in years, but the friend is concerned with her family member’s health nonetheless. You respond to your friend and explain to her why you cannot do this. After finishing your letter to your friend, you decide to draft a memo to your nursing staff to remind them of the importance of ethical use of electronic health records. Your memo should include the following:

• A statement on the nurse’s ethical duty to maintain patient confidentiality and protect private patient information
• A reminder of why it is important to maintain patient confidentially and privacy for both the patient and the medical practice
• A list of the possible implications of not maintaining patient confidentiality and privacy

Your memo should be 1- to 2-pages in length.

Scenario 3:

You are the managing nurse at Valley View Clinic where smartphones are part of the daily lives of nurses, doctors, and patients. You’ve noticed an increased use of smartphones by nurses and doctors and are concerned that this may be compromising the privacy of patient information. In fact, you overheard one of your nurses saying that she used her personal smartphone to schedule an appointment for a patient. You have decided to send an email to the staff outlining the following:

• The potential privacy, security, and confidentiality risks involved with using personal smartphones in the clinic
• Guidelines for using smartphones, including what to do and what not to do
• Technology or policy related to technology that could be used to protect patient confidentiality and privacy when using smartphones
• Strategies you have used personally to protect patient health information when using smartphones
• A list of resources that your staff can refer to

Your email should be one page.

Scenario 4:

You are the nurse manager at Cedar Grove Medical Clinic. You have recently hired a new nurse and have taken her under your wing to help her get acquainted with her new workplace. She sent you an email this morning asking you for help regarding a request she received from another clinic to release patient information for a patient that was recently treated at Cedar Grove Medical Clinic. She is unsure how to respond and has asked you for guidance. Write an email to her with the following:

• HIPAA guidelines for permitted use and disclosure of protected health information
• An explanation of whether she should or should not release this information and why

Your email should be one page.

respond 

 

The case of Jim is a great example of how value based reimbursement structures are driving improvements in healthcare.

With fee for service, or volume based reimbursement, the hospital will receive reimbursement for providing care on two separate admissions, despite the fact that the second admission could possibly have been avoided.  Additionally, with fee for service, there is  no incentive to return the patient to the community or recover health in a timely manner.  Physicians and hospitals receive more benefit from greater length of stay and additional tests and consults.  With volume based reimbursement, there is no incentive to reduce costs or improve quality which negatively impacts patient satisfaction.   While this form of reimbursement provides maximum profits for providers, it results in epidemic unaffordable and inaccessible healthcare for populations. 

With value based reimbursement, the hospital will receive a flat fee for Jim’s diagnosis regardless of how care is provided.  The hospital will also be penalized for readmission additionally reducing reimbursement.  In the case of value based reimbursement, the hospital is incentivized to diagnose, treat, and recover the patient as quickly and efficiently as possible.  This reduces the chances of imposed unnecessary costs to the patient and improves the likelihood of quality care and thereby patient satisfaction, which is known as the Triple Aim (Martin, 2017).

With nearly 50% of the payer mix at my institution coming from government funded healthcare, value based reimbursement has a significant impact on how we deliver care with a large focus on quality and cost reduction improvement strategies.  One of the ways our hospital has tried to reduce cost is through merger.  Advocate merged with Aurora Healthcare last year and the large volume of providers has allowed us to negotiate lower contracts with vendors and suppliers.  Additionally, they are reducing costs by partnering with physician groups to provide services to patients and employees at reduced costs under a large HMO.

Review the attached PowerPoint presentations.  Once done please answer the following questions:     

1. Define epidemiology and discuss how the epidemiology triad can be applied to            health issues we see in the hospital?    

2. Epidemiology is not just useful for community health nurses; it is useful for all healthcare professionals. Brainstorm some ways in which epidemiology could be used in an acute care setting. What types of problems arise in acute care that might need to be measured? How could nurses use epidemiology to assess those problems and attempt to intervene? How can this data be further used in a community setting in terms of follow-up or continuation of intervention? 

3. What are some of the causes of increases in healthcare costs in recent years, as outlined in the chapter?  Brainstorm some examples that you have witnessed in the clinical setting. Can any of these factors be modified? What could nurses do to help cut down on costs related to the different factors? 

4. Why is it important for nurses to know about global health issues or concerns if they are not planning to work in other countries? How can this information be used in the workplace here in the US?    

 

– Present your assignment in an APA format, word document, Arial 12 font.

– A minimum of 2 evidence-based references (besides the class textbook) are required. 

–  A minimum of 500 words (excluding the first and references page) are required.

Reflection Assignment 4: Meeting Essential VIII

This week, reflect on your perception of change theory, management roles and nursing leadership, communication conflict, and the nurse management role in patient care as it has evolved over the course of your RN-BSN program at WCU. Identify specific leadership models you support, and compare and contrast communication techniques for patient-centered care effectiveness. How does your academic work support evidence of meeting the following?

Essential VIII: Professionalism and Professional Values

• Outcome #3: Promote the image of nursing by modeling the values and articulating the knowledge, skills, and attitudes of the nursing profession.

Review your past academic work, evaluate your effectiveness at meeting this program essential, and ponder the impact that this proficiency will have on your future.

Identify how you met the essential by referring to the assignment(s) specifically in your response. Additionally, reflect on and make connections between your academic experience and real-world applications. 

Showcase your academic work related to this essential and these outcomes in your ePortfolio and directly reference it in your reflection response.

Recommended: Refer to the work you completed for NURS 510 Policy, Organization, and Financing of Health Care and LDR 432 Principles of Leadership for Healthcare Organizations, as well as other courses, to gather academic examples and evidence of having met this essential. (DOCUMENTS ATTACHED)

Your reflection should be 1–2 pages APA formatted. Reference and cite any sources you use. 

PLEASE REFER TO THE ATTACHED RUBRIC!!!!!