Write a 5–6-page paper that addresses the following:

Introduction.

Briefly review your practice problem and include a purpose statement.

Risk for falls in patients  living in their  own home  ( NOT A FACILITY) 

·  

· Evidence-Based Practice Plan Explanation  

o Provide a detailed explanation of the evidence-based practice performance improvement plan that you will be use to address the practice problem.

o Support your plan with scholarly references (the sources you found in the analysis of the evidence).

· Resources

o Describe the resources needed to support the change in practice such as personnel time, supplies for staff education, cost of new equipment, or cost of software.

o Explain why each resource is necessary.

· Conclusion

o Discuss all key points addressed in this assignment.

Review Chapter 5 in your Spath text for examples of practice improvement plans.

· Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Chicago, IL: Health Administration Press.

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.

TASK

Post your initial response to one of the two topics below

Topic 1

Review the Healthy People 2020 objectives for Access to Care. 

• Of all the objectives listed under this topic, which do you think would be most beneficial to the patients with chronic illness? 
• Provide rationales for your selection and support responses with examples from references. 

Topic 2

• Discuss how you feel nurses can positively impact the Healthy People 2020 goals. 
• Support your response with examples from Healthy People 2020, textbook lectures and the library.

Peer 1

Access to comprehensive, quality health care services is important for promoting and maintaining health, preventing and managing disease, reducing unnecessary disability and premature death, and achieving health equity for all Americans (Office of Disease Prevention and Health Promotion, 2020). The objective that stood out most to me on Healthy People 2020 was reducing the number of patients who are unable to obtain or delay in necessary medical care. As nurses, we know firsthand how much medical expenses can be which can be burdensome for individuals which can lead to needed care being swept under the rug causing more problems. A total of 6,375,000 people in the United States could not get hospitalization, prescription medications, medical equipment/supplies, or emergency, pediatric, mental health, or home care, and although the uninsured were more likely to forego care unavailable, three quarters of those unable to obtain services were insured too (Himmelstein and Woolhandler, 2018). I hope that we can continue to make a positive impact and provide care regardless. 

Himmelstein, D. U., & Woolhandler, S. (1995). Care denied: US residents who are unable to obtain needed medical services. American journal of public health, 85(3), 341–  344. https://doi.org/10.2105/ajph.85.3.341

Office of Disease Prevention and Health Promotion. (2020). Cancer. In Healthy People 2020. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/

Peer 2

  Access to health care services means the timely use of personal health services to achieve the best health outcomes” (Office of Disease Prevention and Health Promotion, 2020). Nurses can positively impact the Healthy People 2020 goals. Nurses play a key role in advocating for patient needs in the community and one way was by improvement of educating in prevention of chronic diseases. Among one important factor a nurse can include in setting up community base programs based on prevention of certain chronic illnesses like diabetes.  A nurse can be an advocate to make wellness programs about diabetes known throughout the community. Adds can be placed in local newspapers and brochures can be made place on the billboards in clinics advertising the wellness programs. The program will have to remain cost effective to the participant. Many times, people wait to late until sick, then must be hospitalized, in order to receive health care. “Healthy People 2020 really shapes the agenda for many public health and community-oriented program and initiatives, so important for public health nurse, in particular, and nurse to pay attention to and participate in creating document,” (Trossman, 2008).

I need a Persuasive essay, using all the steps to write a Persuasive essay,  in  APA stile. The work needs to have 2 pages. Plus, the references, please  cite at least 4 references. Use the APA stile for the references also.

Title:

To be a Front liner nurse In the Covid 19 Pandemic it’s hard but Rewarding.

I have all my information in my resume- I just need it to look professional. I did not add my name nor my phone number nor my email which I will do it later once the resume is completed.

Please fix my resume add a cover letter and a thank you letter.

the resume is as follow:

My name 

My address 

E-mail: • my email 

Mobile: complete phone number 

Career Highlights

• LPN  Nurse since 2011
• LTC, skilled/intermediate care experience, Dementia care trained
• Exceptional history of  IDPH and JCAHO survey results
• Certified Restorative nurse 
• Extensive experience in MDS (Medicare/Medicaid) Reimbursement 
• Adept knowledge, training and experience in Restorative Nursing, Infection Control, Ostomy Care,  Quality Improvement & Risk Management, Staff Development & Team Building, overall Facility Compliance, Survey Management, POC development, Census development
• Highly motivated team player with strong managerial, administrative, and organizational skills. Proven ability to multi-task and effectively set priorities while working in a fast-paced environment. Critical thinking skills have enabled me to meet deadlines. Excellent verbal and written communication skills, with over 10 years  experience in computer skills. Tri-lingual in English, Arabic, and French.

Work Experience

Clinical Nurse Audit specialist  :Legacy  health care Oct 2016-Present 

Conducts coding audits, quality assurance assessments of claims, reviews

Statistical samples and analyze  for risk.

Ability to apply expertise to ensure compliance with medical policy, medical necessity guidelines and accepted standards of care.

Conducts audits and uses nursing expertise to determine if claims will need to be reviewed

Understands and analyzes complex provider and hospital contracts

Ensures that medical claims, medical records and other documentation essential to proper billing is in compliance with federal regulation, company policies and industry standards

Develops written audit finding with respect to contractual compliance, recommendations for improved contracts, and other matters identified during the audit.

Extensive knowledge with the audit /  Appeal process for  CMS:MAC-ZPIC-OIG-RAC-UPIC and all managed care insurances.

Quarterly and as needed Lawyer meeting regarding the progress of the CMS audit.

GROVE of Northbrook nursing and rehab /chalet nursing and rehab 

Restorative nurse /MDS coordinator /nurse supervisor   August 2014-Oct 2016 

Manages the Restorative Therapy Department and leads the Resident Safety Program in concert with State and Federal regulations .

Plans, develops, organizes, implements, evaluates and directs restorative therapy services for long-term care residents. 

Educates facility staff in restorative therapy and its execution in a 24-hour per day operation. 

Maintains complete and accurate records of therapy service assessments and services. 

Coordinates restorative therapy services with therapy service provider to provide transitional services to facility residents. 

Attends care plan conferences. 

Plans, develops, organizes, implements, evaluates and directs the Resident Safety Program in accordance with the Illinois Department of Public Health regulations and facility standards. 

Serves as the resident safety program coordinator, leading fall prevention, restraint reduction in accordance with State and Federal guidelines. 

Prepares and presents regular reports on the Resident Safety Program; reports monthly to the Quality Assurance Committee. Educates facility staff, residents and families regarding resident safety. 

Directly supervises employees within the Restorative Therapy Department. May supervise additional employees as needed 

MDS/Care Plan Coordinator 

Conduct initial and periodic comprehensive, accurate and standardized assessment of each resident in the facility. 

Develop and maintain a schedule system to ensure all assessments and care plans are conducted in accordance with guidelines set forth by governmental agencies. 

Perform quarterly assessment review and perform revisions as appropriate per each resident condition. 

Lead interdisciplinary team to develop a comprehensive care plan for each resident, which shall include measurable objectives and time-tables to meet resident’s medical, nursing, mental and psychological well-being. 

Required to check weights on weekly and monthly schedule. 

NORRIDGE GARDENS NURSING AND REHAB   : DEC 2013-august2014

RESTORATIVE NURSE MANAGER 

Grove North Nursing and Rehab Center March 2012 – November 2013

Certified Restorative Nurse Manager 

Community Care, LLC   : Dec  2011 – May 2012 

Licensed Practical Nurse – floor nurse Renal/Adult Med Surg Units 

Administered medications, maintained NGT tubes with safety checks. 

Patient assessments, bed baths, colostomy care. 

Isolation precautions, fingersticks for DM ,vital signs. 

Peg tubes, Post-op care, specimens, sub-Q, IM injections. 

Patient Education. 

Trach suctioning and nebulizer treatments, oral care 

Report any abnormal lab to the physician 

Education, Training & Certification

• LPN, CHICAGO IL , 2011
• Professional  License practical nurse  (IL) License .
• Certified Restorative nurse ; BLS, current
• RAC-CT MDS certified 2017
• Member of emergency nurses association 2019
• BSN – graduation Dec  2020 (Ambria College of Nursing)

 

dentify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal.

Include the following:

1. Provide an overview of the problem and the setting in which the problem or issue occurs.
2. Explain why a quality improvement initiative is needed in this area and the expected outcome.
3. Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.
4. Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.
5. Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.
6. Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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