1. Go to http://www.healthypeople.gov/2020/default.aspx and review the Healthy People 2020 initiative. Pay close attention to the objectives, goals and the indicators.

2. Using your city or county public health department identify an epidemiological and surveillance data related to population based communicable illnesses described in box 4-1 page 122 of our class text book. Besides the illnesses describe you can also choose influenza or any other illnesses that are currently affecting your community.

3. Once you have chosen your topics you must send me an e-mail telling me what illnesses you choose. 

4. Choose 3 population based communicable illness and prepare an analysis discussing how this 3-communicable illness affect your community and how they were identified and a plan of action to contained them base on healthy people 2020.

5. Presentation must be in APA format word document, Arial 12 font attach to the forum/thread in the assignment tab and turnitin with a minimum of 1000 words (excluding first and references page) with a minimum of 3 evidence based references (excluding the class textbook) no older than 5 years are required. The assignment must include the zip code of the city or county chosen. Follow the APA example paper that was sent to you at the beginning of the course for guidance. Make sure references are use according to APA guidelines and electronic references must be from reliable sources such as CDC. Once again, the assignment will be posted in turnitin under the tab epidemiology assignment to verify originality and on the discussion tab of the blackboard under forum/thread epidemiology assignment. You are posting the assignment twice but only you will receive one grade 

Assignment Content

1. Create a list or mind map of the patient services offered at the health care setting you selected for your sustainability initiative. (Nursing home)
2. Identify which services are affected by your sustainability initiative, and brainstorm ways that the initiative will improve patient care and outcomes.

   Write a 2- to 3-page paper that evaluates how your sustainability initiative will improve patient care and outcomes. 

   Include your list or mind map of the patient services offered and provide details of how the services will improve once your initiative is implemented. 

   Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

   Format your assignment according to APA guidelines.

    

Respond

EXPERIENCE

I had been a bedside nurse for 24 years before I transitioned into my current position as an Accreditation Specialist. I have been in my position a little over two years and due to being a bedside nurse I never had to deal with any budgeting issues. My husband tends to all our personally finances. I honestly have to admit, I am not good with money. My husband is so much better in planning and saving for the future, I have more of a spontaneous personality. I paying more attention and asking more questions to my department manager and director in regards to our budget. They have quarterly leadership meeting where our organizations financial information is discussed. After these meetings, my leaders share the information and are willing to answer any of our questions. They want to be transparent to allow us to be educated and knowledgeable in regards to our organization.

REFLECTION

The pre-conceived notion I had of healthcare financial and budgeting principle is of staffing. I did not realize developing a staffing budget consisted of a certain formula. I was unaware of the number of factors related to identifying the full-time equivalents (FTEs) needed to staff a hospital floor. I now understand that an FTE consisted of 2,080 hours/year for a full-time employee. And patient hours are a major factor, the percentage of direct admits from the emergency room (ER). The budget also has to take into consideration the skill mix needed for your organization.

Two concepts that were very interesting to me were the nonprofit and for-profit concepts. They only difference is that non-profit organizations do not pay taxes. For profit hospitals are owned and operated by financial cooperation’s and have access to larger sums of money when needed. Nonprofit organizations are more community oriented and focuses on what the community needs. They are typically in area that are financially well off but that is not the case for the organization I am affiliated with. My community is poor and Medicaid and Medicare are a high percentage of our reimbursement. Quality verses quantity is always a main focus for us. We do not provide a lot of specialty services but what we offer is quality care with the capability to stabilize and transfer to affiliated hospitals. We like to ensure our patients are receiving quality care not matter where they are sent.

IMPLICATIONS FOR THE FUTURE

My proposed project is implementing a sepsis bundle checklist to improve sepsis bundle compliance in the Emergency Department (ED) to improve patient outcomes. This project is not a high cost to the organization. The sepsis bundle checklist can be created by our quality department and once passed through the form committee for approval it can be rolled out for use. The education department will be involved to develop the education for the staff and providers to ensure the checklist is getting implemented correctly. The checklist will be printed in our print shop so each department, mainly ED, will order and charged to their cost center. There are no areas of additional financial or budgeting data that I feel will be affected by this proposal. 

Details:

In this assignment, you will be writing a 1,000-1,250-word essay describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

1. Select      an issue from the following list: nursing shortage and nurse turn-over,      nurse staffing ratios, unit closures and restructuring, use of contract      employees (i.e., registry and travel nurses), continuous quality      improvement and patient satisfaction, and magnet designation.
2. Compare      and contrast how you would expect nursing leaders and managers to approach      your selected issue. Support your rationale by using the theories,      principles, skills, and roles of the leader versus manager described in      your readings.
3. Identify      the approach that best fits your personal and professional philosophy of      nursing and explain why the approach is suited to your personal leadership      style.
4. Identify      a possible funding source that addresses your issue. Consider looking at      federal, state, and local organizations. For example: There are many      grants available through the CDC, HRSA, etc.
5. Use      at least two references other than your text and those provided in the      course.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

• Read and familiarize yourself with all the Ayurvedic resources in Lesson 2 (Web links, Videos, Journal Articles, etc.)
• Use the Internet to further explore Ayurvedic Medicine, and answer the following questions:
   

1. Give an example of how Ayurvedic Medicine can empower patients.
2. Describe the impact that Ayurvedic Medicine can have on the global community.
3. Identify Ayurvedic resources within a specific community.

• Your paper should be 4-6 pages, including: 
• title page
• reference page according to APA Writing Style 
• spacing and margin settings (APA Style)
• Type your paper in a WORD Document and save file.