To Suraya  only

I am going to ask you to please when doing the masters paper I would like flow chart to be about the discharge process for discharging a patinet It must include the packing up of patinet belongings, signing of medicare form and signing of AVS( discharge instruction) papers

ASSIGNMENT: Creating a Flowchart (due in 2 weeks).

In this Assignment, you select a common event that occurs regularly in your organization and create a flowchart representing the workflow. You will analyze the process you have diagrammed and propose changes for improvement.

PREPARE:  Identify a common, simple event in you organization to evaluate; consider how you would design a flowchart to represent the current workflow.  Consider what metrics (measurement of your sucess!) you would use to determine the effectiveness of the current workflow and identify areas of waste.

WRITE a 3- to 5-page paper which includes the following:

Create a simple flowchart of the activity you selected; (see the guidance document below for help in a flowchart design)

• Explain the process you have diagrammed.
• Include the required detail about the process as well as the metric that is currently used to measure the soundness of the workflow. Is it effective?
• Describe any areas where improvements could occur and propose changes that could bring about these improvements in the workflow.
• Summarize why it is important to be aware of the flow of an activity.

Remember to include a cover page, introduction, and summary for your paper. Flowcharts will generally be an appendix in the paper.

See the attached guidance document for help in this assignment. (Ignore the possible points, this were used prior to the current grading rubric) There are examples of Workflow Diagrams in the attachment.

08_Week 8 Assignment.docx 

Adding Flowcharts.docx 

DUE by Day 7 (Sunday) of Week 8.

Note: This paper will serve as the Portfolio Assignment for the course

 

 

 

QUESTION 1

1.    When coding for an established patient for a particular level of service you must have a minimum of 2 of the 3 key elements whereas with a new patient you must have 3 of 3 key elements.

[removed] True

[removed] False

QUESTION 2

1.    The 3 key components of Evaluation and Management coding are history, exam and medical decision making.

[removed] True

[removed] False

QUESTION 3

1.    Emergency department evaluation and management codes are broken out into new and established patients.

[removed] True

[removed] False

QUESTION 4

1.    Preventive Services codes are broken out by age but there is no distinction between new and established.

[removed] True

[removed] False

QUESTION 5

1.    There are 4 “contributing components” of an Evaluation and Management codes are 1) counseling, 2) coordination of care, 3) nature of presenting problem, and 4) time.

[removed] True

[removed] False

QUESTION 6

1.    Types of anesthesia used in surgical practice are 1) general, 2) local and 3) nerve blocks.

[removed] True

[removed] False

 

QUESTION 7

1.    An add-on code is a procedure commonly carried out in addition to the primary procedure performed.

[removed] True

[removed] False

QUESTION 8

1.    CPT modifiers are reported s two digit numeric codes added to the front of the 5 digit CPT code (e.g. 25-99213) .

[removed] True

[removed] False

QUESTION 9

1.    “Disqualifying circumstances” are additional codes to anesthesia such as 99100, 99140, 99116 and 99135.

[removed] True

[removed] False

QUESTION 10

1.    The CPT symbol “triangle” identifies a code description that has been revised.

[removed] True

[removed] False

QUESTION 11

1.    Code the excision of a complicated pilonidal cyst.

[removed]	a.	10080
[removed]	b.	10081
[removed]	c.	11772
[removed]	d.	11770

QUESTION 12

1.    Code electrolysis for 2 hours.

[removed]	a.	17380
[removed]	b.	17380 x 4
[removed]	c.	17380 – 22
[removed]	d.	17360 x 4

QUESTION 13

1.    Code the reduction mammoplasty bilateral.

[removed]	a.	19318
[removed]	b.	19020
[removed]	c.	19318-50
[removed]	d.	19325-50

QUESTION 14

1.    Code a diagnostic laryngotomy.

[removed]	a.	31320
[removed]	b.	31300
[removed]	c.	31360
[removed]	d.	31370

QUESTION 15

1.    Code a planned tracheostomy on a 47 year old.

[removed]	a.	31603
[removed]	b.	31605
[removed]	c.	31601
[removed]	d.	31600

QUESTION 16

1.    Select an anesthesia CPT code for a 35 year old man undergoing hernia repair of the lower abdomen.

[removed]	a.	00832
[removed]	b.	00830
[removed]	c.	00800
[removed]	d.	00834

QUESTION 17

1.    Select an anesthesia CPT code for bilateral corneal transplant.

[removed]	a.	00140-50
[removed]	b.	00140
[removed]	c.	00144-50
[removed]	d.	65710-50

QUESTION 18

1.    Select the anesthesia CPT code for a patient undergoing a vulvectomy.

[removed]	a.	56625
[removed]	b.	00906
[removed]	c.	00902
[removed]	d.	56620

QUESTION 19

1.    Select the anesthesia CPT code for a patient undergoing a cleft lip repair.

[removed]	a.	00102
[removed]	b.	00100
[removed]	c.	00172
[removed]	d.	40700

QUESTION 20

1.    Betsy is an established patient of Dr. Gus and sees the doctor today for acne of the face. Dr. Gus does a problem focused history and exam and the medical decision making is straightforward. Code the office visit.

[removed]	a.	99214
[removed]	b.	99202
[removed]	c.	99213
[removed]	d.	99212

QUESTION 21

1.    Dee is an established patient of Dr. Wong and is 3 months post transplant. She goes to Dr. Wong today with edema, increased blood pressure and fatigue. The doctor does a comprehensive history and exam and due to the nature of her problems, the medical decision making is high complexity. Code the office visit.

[removed]	a.	99215
[removed]	b.	99205
[removed]	c.	99245
[removed]	d.	99214

1.    A patient is seen in the Emergency Department after falling off his scooter. The ER physician does an expanded problem focused history and exam. He takes an x-ray and determines that the boy only has a sprain so the medical decision making is of low complexity. Code the ER visit.

[removed]	a.	99283
[removed]	b.	99282
[removed]	c.	99281
[removed]	d.	99231

QUESTION 23

1.    Michael goes to his family doctor that he’s been seeing for years for his yearly preventive physical. He’s 55 years of age. Code the preventive visit.

[removed]	a.	99386
[removed]	b.	99214
[removed]	c.	99396
[removed]	d.	99213

QUESTION 24

1.    Due to injuries sustained in a car accident, Jane is seen by Dr. Ricker for 1hour and 15 minutes for critical care services. Code the critical care evaluation and management.

[removed]	a.	99291, 99292
[removed]	b.	99291
[removed]	c.	99292
[removed]	d.	99215

QUESTION 25

1.    The CPT code for a total splenectomy is:

 

[removed]	a.	38100
[removed]	b.	38120
[removed]	c.	38101
[removed]	d.	38115

View Rubric

Due Date: Oct 15, 2017 23:59:59       Max Points: 150

Details:

 

In a written paper of 1,200-1,500 words, apply the concepts of epidemiology and nursing research to a communicable disease.

Communicable Disease Selection

Choose one communicable disease from the following list:

Chickenpox

Tuberculosis

Influenza

Mononucleosis

Hepatitis B

HIV

Epidemiology Paper Requirements

Include the following in your assignment:

Description of the communicable disease (causes, symptoms, mode of transmission, complications, treatment) and the demographic of interest (mortality, morbidity, incidence, and prevalence).

Describe the determinants of health and explain how those factors contribute to the development of this disease.

Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. (The textbook describes each element of the epidemiologic triangle).

Explain the role of the community health nurse (case finding, reporting, data collecting, data analysis, and follow-up).

Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organization(s) contributes to resolving or reducing the impact of disease.

A minimum of three references is required.

Refer to “Communicable Disease Chain” and “Chain of Infection” for assistance completing this assignment.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center.

  

Discussion: Safe Prescribing

In 1915, the Drug Enforcement Administration was formed, known then as the Bureau of Internal Revenue. Recognizing the variance in state laws and the process for completing applications for prescriptive authority and DEA registration is essential to the role of the NP as a prescriber. Within the last decade, safe prescribing of opioids has also become a national concern. For this Discussion, you will focus on the process for obtaining prescriptive authority after successfully completing your program of study and passing a National Certification Exam. You also will explore safe prescribing.

To prepare:

· Review your state’s process for obtaining prescriptive authority and associated fees

· Review the DEA website and review the process for obtaining a DEA number and associated fees.

· Review and select one of the following case studies and analyze the provider information:

o Case Study One: Lori, FNP-BC, is a new graduate and has recently passed her certification exam. She has just been hired to work for a Primary Care Clinic in a small town. She will be working with one physician at one site.

o Case study Two: James, FNP-BC, works with a physician who specializes in pain control. He works in several clinics in the large urban city where he practices.

By Day 3

Post a brief summary of your case study and an explanation of the appropriate prescriptive authority and DEA registration process needed for the case study you selected. Then, explain the safe prescribing practices that these providers should use for these settings.

Resource

https://www.dea.gov/ops/diversion.shtml

  

Application 2: Meaningful Use Paper

Why are many health care organizations hesitant to adopt electronic health records (EHR) when they have the potential to improve quality, increase access, and reduce costs? Some organizations are concerned with the ethical and legal issues that may arise in daily operations. In 2010, legislators noticed health care’s reluctant transition into full EHR integration, and began to provide financial incentives to those organizations that not only adopt EHRs, but also use them meaningfully to improve quality of patient care. As an advanced practice nurse, it is important to be aware of the challenges, policies, and incentives associated with integrating EHR systems. It is also critical that you understand the concept of “meaningful use” and how it plays out in today’s health care organizations.

To prepare:

In this Application Assignment, you analyze meaningful use criteria to determine the authentic legal, financial, and ethical issues that may surround it.

• Reflect on the information presented      in the Learning Resources, focusing on meaningful use legislation and the      “Ethics in Nursing Informatics” section of your course text.
• Investigate the legal, financial, and      ethical issues surrounding meaningful use.
• Ask yourself: What are the goals of      meaningful use?

By Friday 10/06/17 10 pm, write a 4- to 5-page essay in APA format with at least 5 references from my list of required readings provided below, in which you include the level one as per APA format guidelines:

1) A cover page.

2) An introduction ending with a purpose statement (e.g. “The purpose of this paper is…)

3) Summarize the legal, financial, and ethical issues that may arise as a result of meaningful use legislation.

4) Explain how these issues might present barriers to successful implementation within an organization.

5) Discuss ways that health care organizations can make the most of their electronic health record (EHR) investments in light of meaningful use.

6) Explain how EHR-related meaningful use legislation is being implemented in your organization.

7) A conclusion

8) A references pages in APA format. 

Required Readings

California HealthCare Foundation. (2011).

Retrieved from http://www.chcf.org/ 

The California HealthCare Foundation outlines quality reform plans that improve efficiency and reduce cost for California’s patients.

Centers for Medicare & Medicaid Services. (2010). CMS EHR meaningful use overview.

https://www.cms.gov/EHRIncentivePrograms/30_Meaningful_Use.asp 

The U.S. Department of Health and Human Services defines the term meaningful use and also its view of meaningful use criteria, requirements, and financial impact.

Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). Nursing informatics: Where technology and caring meet (4th ed.). London, England: Springer-Verlag.

• Chapter 14, “Usability and      Clinical Application Design”

This chapter begins by defining the terms usability and application design as they are used in the field of nursing informatics. The authors then describe the literature review and analytic process that the TIGER Collaborative group underwent to positively transform the development of HIT systems.

Gruber, D., Cummings, G. G., LeBlanc, L., & Smith, D. L. (2009). Factors influencing outcomes of clinical information systems implementation: A systematic review. CIN: Computers, Informatics, Nursing, 27(3), 151–163. 

The authors analyze the outcomes of prior IT implementations to determine if certain strategies can guarantee success when launching new clinical information systems.

Kaufman, D., Roberts, W. D., Merrill, J., Lai, T., & Bakken, S. (2006). Applying an evaluation framework for health information system design, development, and implementation. Nursing Research, 55(2, Suppl. 1), S37–S42.

This article emphasizes the indispensable role of continuous evaluation throughout the development and real-time application of new information systems into the workplace.

Schlotzer, A., & Madsen, M. (2010). Health information systems: Requirements and characteristics. Studies in Health Technology and Informatics, 151, 156–166.

Use this article to examine the importance of focusing on sound design, interoperability of systems, and fulfillment of user needs when developing an effective database.

  

Course Text: American Nurses Association. (2008). Nursing informatics: Scope and standards of practice. Silver Spring, MD: Author.

“Ethics in Nursing Informatics” (p. 49-52)

This page of the text introduces three common ethical codes used in health care today.

Croll, P. (2010). Privacy, security and access with sensitive health information. Studies in Health Technology and Informatics, 151, 167-175.

The author proposes a model for controlling the security of health information networks and systems.

Hjort, B. (2007). AHIMA report addresses evolving role of health care privacy and security officers. Journal of Health Care Compliance, 9(3), 47-68.

This article identifies the challenges and responsibilities of health care workers employed in privacy and security positions.

Layman, E. J. (2008). Ethical issues and the electronic health record. The Health Care Manager, 27(2), 165-176.

The findings within this article provide recommendations for health personnel, leaders, and policy makers when attempting to design ethically sound electronic health records.

Mackenzie, G., & Carter, H. (2010). Medico legal issues. Studies in Health Technology and Informatics, 151, 176-182.

Within this article, the authors provide an overview of the legal issues, precautions, and potential breaches that surround the privacy and security of electronic patient records

O’Keefe-McCarthy, S. (2009). Technologically-mediated nursing care: The impact on moral agency. Nursing Ethics, 16(6), 786-796.

Examine technology’s ability to negatively affect the patient/nurse relationship as decisions are based more on data and less on emotional and pedagogical reasoning by referencing the material found in this article.

Withrow, S. C. (2010). How to avoid a HIPAA horror story. Healthcare Financial Management, 64(8), 82-88.

The HIPAA horror story that is detailed here underlines the importance of adopting HIPAA privacy and security provisions in efforts to reduce potential violations and financial threats.

  

Centers for Medicare & Medicaid Services. (2010). CMS EHR meaningful use overview.

https://www.cms.gov/EHRIncentivePrograms/30_Meaningful_Use.asp 

The U.S. Department of Health and Human Services defines the term meaningful use and also its view of meaningful use criteria, requirements, and financial impact.

American Nurses Association. (2011). Ethics and human rights.

Retrieved from http://nursingworld.org/MainMenuCategories/HealthcareandPolicyIssues/ANAPositionStatements/EthicsandHumanRights.aspx