Title: Benchmarking

Paper type Essay

Paper format APA

Course level Master

Subject Area

# pages 6   ( or 1800 words Minimum)

Spacing Double Spacing

# sources 6

Paper Details

Assignment: Final Case Study

Throughout this course, you have examined and applied a wide variety of tools that may be used to enhance performance objectives for health care quality, efficiency, and cost in health services organizations. From day-to-day operations to strategic decision making and initiative planning, these tools serve various purposes in affording health care administration leaders with a variety of perspectives and mitigation strategies to enhance performance in health care delivery. Health services organizations must aim to not only deliver cost-effective and high-quality health care services but they also must operate efficiently to maximize the bottom line for business operations.

For this Assignment, you will conduct research about a hospital using the Hospital Compare data source for any large U.S. city. Find a hospital that you are interested in or familiar with for this Assignment. Then, select two similar hospitals for comparative analysis. Then, analyze the organization’s position within the local and regional health care system. Analyze the cost, quality, and access metrics of the organization. Reflect on the metrics that might be monitored by the different types of control charts on the Hospital Compare data source. Think about how you would proceed with conducting a complete quality assessment of the hospitals you selected.

The Assignment: (8–10 pages)

Provide a description of the Atlanta’s Grady Healty System, its geographic area, the population it serves, and the reason you selected it.

Provide a detailed comparison of this hospital with two other similar hospitals in the community as well as state / national rates. Be sure to address all of the following components:

Similarities / differences in hospitals

Surveys of Patients Experiences

Timely and Effective Care

Complications

Readmissions and Deaths

Use of Medical Imaging

Payment and Value of Care

Categorize each of the subcomponents as whether they are structure, process, or outcome oriented, and identify how / if they link to cost, quality, and access. Be specific in your categorization.

Explain whether there are there significant differences in the proportion of patients who gave the three hospitals a rating of 9 or 10. NOTE: You can find the number of respondents by clicking on the “View More Details” link on the Hospital Compare site. Conduct appropriate hypothesis testing for your comparison. How did your selected hospital perform in comparison to the others from a statistical point of view?

Identify three separate measures that should be monitored using variable control charts, attributes or failures control charts, and nonconformity control charts.

Provide your overall assessment of this hospital’s performance on cost, quality, and access measures. Be sure to reference your statistical results and analyses that assisted you in the development of your overall assessment.

By Day 7

Submit your Assignment.

Topic: Improving Medication Adherence in Home Health Care Settings. 

This is NOT a research but a QUALITY IMPROVEMENT PROJECT

The project is needed by Wednesday 11/11/20

Please see the attached 10 Strategic Points.

The New Topic is “Improving Medication Adherence in Home Health Care Settings.” 

The information provided in the 10 Strategic Points must now change. Please take note of the Professor’s comments that came for corrections in the initial topic. 

The expectation is to follow the Professor’s direction. 

PERSONAL REFLECTIONS OF MENTAL HEALTH

Self-awareness is a key part of the psychiatric nursing experience. The nurse’s goal is to achieve authentic, open and personal communication that is therapeutic in nature. The nurse must be able to examine personal feelings, actions, and reactions. 

1. Watch the TED talk “Lessons from a Mental Hospital” https://www.youtube.com/watch?v=NHHPNMIK-fY

2. After viewing please complete the following assignment:

Personal Reflection #1

Turn in your first personal reflection assignment following the guidelines below:

1) How do you feel about the mentally ill population?

2) What feelings, fears and vision do you have about working with psychiatric patients?

3)  What do you hope to accomplish during this course?

4)  What self-care strategies do you use or would like to use for your own mental health?

Make sure your paper is at least 2 pages double spaced. Include anything else that you want in order to personally reflect about this experience. This assignment is designed for you to think about how you feel about working with the mentally ill population. 

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. 

CASE STUDY #2

CHEIF OF COMPLAIN: A 25-year-old Hispanic female, computer programmer presents to your clinic complaining of a 12-day history of a runny nose

SUBJECTIVE: States that her symptoms began about 12 days ago. She suffers from allergies; she gets a runny nose during the spring-time, pollen season. However, in the winter, her allergies are not a problem.

OBJECTIVE  DATA: 

VS: (BP) 115/75, (P) 89, (RR) 16, (T) 100.4°F (38°C), O2 sat 98% on room air

GENERAL: No signs of acute distress. Patient appears mildly fatigued. She is breathing through her mouth. Breathing easily. Voice has a nasal quality to it.

HEENT:Ear canals: normal; EYES: normal; NOSE: Bilateral erythema and edema of turbinates with significant yellow drainage on the right. Nares: Obstructed air passages

RESPIRATORY : CTA AP&L

NECK/THROAT: Posterior pharynx: mildly injected, scant postnasal drainage (PND), no exudate, tonsils 1+, no cobblestoning

HEART: Regular rate and rhythm, no murmur, S3, or S4

answer the following questions:

1. What other subjective data would you obtain?
2. What other objective findings would you look for?
3. What diagnostic exams do you want to order?
4. Name 3 differential diagnoses based on this patient presenting symptoms?
5. Give rationales for your each differential diagnosis.

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

PICOT is utilized by the health care community to identify and study a nursing or medical practice problem. Consequently, PICOT examples that may provide insight into the use of the PICOT process, may not be relevant to nursing practice as they are based on a medical practice problem.

Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each. Discuss why is it important to ensure your PICOT is based on a nursing practice problem.

Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Provide an overview of the problem and discuss why the problem should be studied. Provide rational and support for your answer.