Tuberculosis

M. tuberculosis can be transmitted in virtually any setting. Clinicians should be aware that transmission has been documented in healthcare settings where healthcare workers and patients come in contact with persons with infection.

• Describe the factors that determine the infectiousness of a tuberculosis (TB) patient;

• Explain the main goals of a TB infection control program;

• Discuss the three levels of an effective TB infection control program;

• Explain the purpose and the characteristics of a TB airborne infection isolation room; and

• Describe the circumstances when respirators and surgical masks should be used.

2 pages not including title and reference page

RESEARCH PAPER

this project will allow you to formulate and hypothetically develop your own research project. The purpose of this project is for the student to complete all the different steps necessary to implement a nursing research project.  This project will be subdivided into 4 different papers that will be submitted throughout the entire semester. . Please see separate file  items for each phase specific instructions 

Phase 1-Planning 

Phase 2-Design 

Phase 3-Implementation 

Phase 4-Results 

PLEASE I NEED EXCELLENT JOB.

Nursing is viewed by the public as a well-respected field of work. I have heard many people say “It takes a special person to be a nurse” or “you have such a big heart to do that, I could never do that”. Their perception of what “nursing” is or does is based on their experiences. I feel like they may not see nursing as what it is.

The different factors that could affect the public’s perception of nursing would include: past experiences, family members that are nurses, stories that have heard or read about, and tv shows that they have seen.

There are different ways to approach how you would educate the public on the professional nurse’s role and scope of practice within a changing health care system. I think it would be neat to have articles posted about the Professional nurse’s role during Nurses week each year. These articles could be up to date with the nurse’s cutting edge evidence-based practice and any new changes that occurred over the last year. Another way to educate the general public would be to be thorough in your nursing practice, by educating your patient and family member. Explaining what you are doing and why you are doing it, helps the patient and family member better understand the nurse’s role and responsibilities.

To Prepare:

· Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.

· Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

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· Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

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The Assignment: (2-3 pages not including the title and reference page)

· Read the assignment instructions and rubric carefully.

· The syllabus does require you to integrate credible, outside and course specific resources to demonstrate critical thinking and lend support to your ideas in your assignments. As a guide, you should integrate 3 or more peer-reviewed sources and 2 or more course resources.

In this assignment, you will develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team based on the scenario presented in the assignment instructions. The role description should be based on the SDLC stages and tasks. The role should clearly define how this individual will participate in and impact each of the following steps:

· Planning and requirements definition

· Analysis

· Design of the new system

· Implementation

· Post-implementation support

· Use APA format and include a title page and reference page.

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· Use the Safe Assign Drafts to check your match percentage before submitting your work.

Review Figure 10.1 on p. 239 and the Billing Workflow section on pp. 238-239 of Health Information and Technology Management.

Write a 150- to 350-word response to the following:

Discuss at least two components described in the Billing Workflow section in Ch. 10 of Health Information and Technology Management.

• How do these components affect health care reimbursement?

Billing Workflow

• 1. Providers of all types verify patient insurance eligibility with the health plan, either prior to or during the admission or visit. Medical offices collect and post copays at the visit.
• 2. The patient is treated and discharged or checked out.
• 3. As you learned in Chapter 9, the provider usually needs to bill a third party, the insurance plan, in order to receive payment. The insurance bill is called a claim. The first step in preparing the claim is to assign procedure codes for the services rendered and the supplies used and diagnosis codes representing the disease or medical condition.
• 4. Using these codes and the patient registration information, a computer program generates a paper or electronic claim to be sent to the insurance plan.Before the claim is sent to the insurance plan, an insurance or claim specialist reviews the claim to make sure there are no errors. Because of the volume of claims, a computer program is used to examine the claim data and identify problems. Once the claim is correct, it is sent to the insurance plan (usually electronically).
• 5. When the claim is received by the insurance plan, it is adjudicated. If the claim is correct, a payment is sent to the provider; this is called the remittance. A paper or electronic document is generated that explains the amounts that were paid. This is called the remittance advice or explanation of benefits(EOB).
• 6. When the remittance is received by the provider, the payment amount is recorded in the patient accounts system. Frequently, the amount billed does not equal the amount paid. This may be the result of a contractual agreement that stipulates that the provider will accept a discounted payment and/or that a portion of the charges is the patient’s obligation. An accounting entry called a write-down adjustment is posted to adjust the charge.
• 7. If the patient has a secondary insurance plan, a claim is next sent to the second plan. In certain cases the first plan will automatically forward the claim to the second plan. This is called a “piggyback” claim or coordination of benefit (COB) claim. For example, when a Medicare patient has a supplemental insurance policy with the fiscal intermediary who processes the Medicare claims, the company will sometimes process the secondary claim automatically. This eliminates the need for the provider to file a second claim. These are also known as crossover claims.
• 8. Most health plans require the patient to pay a portion of the medical bill. These payments are referred to as the copay, coinsurance, and deductible amounts. The copay amount is usually stated on the patient’s insurance card and collected during the patient visit. The coinsurance amount is usually a percentage of the allowed amount and is not known until the claim has been adjudicated. The EOB tells the provider what amount is the patient’s responsibility.When all the patient’s insurance plans have responded with remittance advice, a bill or statement is sent to the patient for any amounts due that are the patient’s responsibility. The patient statement should clearly show the amounts paid or denied by the insurance plans, any adjustments to the charges required by the plan contract, and the amount due from the patient.
• 9. When patient payments are received by the medical office or hospital, they are posted to the patient’s account. When the account balance is zero, no further statements will be sent.