Question 1

Choose one of the following topics: Office of the Inspector General (OIG), Corporate Compliance Program, Recovery Audit Contractor (as it relates to fraud and abuse), HIPAA Breach Notification Rule, HIPAA Cyber Security and Attacks, Fraud and Abuse (penalties and differences), Ethics Standards

1. Critically evaluate the topic in relation to managing a healthcare facility. Be specific and avoid general statements such as “an administrator should be aware.”
2. Evaluate and analyze any current changes or recent events involving the topic. Discuss why these events are of significance and how they might impact a healthcare facility. Consider financial impacts, staffing, information systems, etc.

Your postings should reference scholarly literature and demonstrate critical thinking.

Question 2

Historically and for the most part, ACOs have been effective in reducing health care spending without negatively affecting the quality of patient care.

• Research and discuss some of the challenges that ACO’s have and will experience in the future due to the COVID-19 pandemic.
• Here is a good article to get you started: How Accountable Care Organizations Can Survive the Next Healthcare Crisis

 

Below isthe template you are to follow when developing your managementplan. Also, always be sure to complete the EMR on the case. Usethis template with each case. It is not a SOAP format asthat is not required. Points will be deducted for not utilizingthe template.

THISSECTION IS 30 POINTS!!! Follow the bullet points below. Copy and answer eachbullet point on a word document and cut and paste your responses to themanagement section!

 

•  Primary Diagnosis and ICD-10 code: Also include any procedural codes.
• 3-5 Differential Diagnoses- Why? What made you select each one as a DDX? How did you rule out? This would be a good area to include references.
• Additional laboratory and diagnostic tests: It may be necessary to establish or evaluate a condition. Some tests, such as MRI, may require prior authorization from the patient’s insurance carrier. 
• Consults: referrals to specialists, therapists (physical, occupational), counselors, or other professionals. If you are sending it to the hospital, what orders would you write for a direct admit? 
• Therapeutic modalities: pharmacological and nonpharmacological management. 
• Health Promotion: Address risk factors as appropriate. Consider age-appropriate preventive health screening.
• Patient education: Explanations and advice given to patient and family members. 
• Disposition/follow-up instructions: when the patient is to return sooner, and when to go to another facility such as the emergency department, urgent care center, specialist, or therapist.
• References (minimum of 3, timely, that prove this plan follows the current standard of care

 

 

 

 

 

 

 

Pediatric SOAP Note

Name: P. L	Date: 03/09/2018
Sex: Male	Age/DOB/Place of Birth: 16 y.o/03/01/2001/Cuba
SUBJECTIVE
Historian: Mother and patient Present Concerns/CC: “I’ve been having horrible headaches on and off for the last 2 weeks”
Child Profile: Patient is a high school student with no significant past medical history. He is enrolled in a dual program where he is taking college classes in advance. Described by his mother as an A+ student. He does participate in sports at school being part of the baseball league. Patient goes to school during the day and spends most of his free time studying. He eats a balanced diet including meat, vegetables, and salads. Patient drinks water throughout the day and does not like soda beverages. Denies drinking energetic drinks. He uses seatbelt at all times while in a car.
HPI: Otherwise healthy 16 y/o male seen in the office for complaints of daily headache for 2 weeks. Pain is described as dull and pounding and intermittent. Pain is mainly located in the back of the head but at times radiates to the top and to the sides. Patient can’t say if there are specific triggers for the pain because he experiences it at any time. Pain is alleviated by rest and in other instances he has taken Excedrin Extra Strength with little relief. Denies photophobia, blurred vision, or diplopia. Patient admits to some pressure with the studies as he is trying to get a full scholarship for university. Med

Medications: Benadryl pen for sleep Acetaminophen or Advil pen for headache Excedrin prn

PMHX: Allergies: NKA Medication Intolerances: None Chronic Illnesses/Major traumas: None Hospitalizations/Surgeries: None Immunizations: Up to date

Family History Mother and father alive. Mother has history of GERD and father suffers from HTN. Paternal grandparents are deceased. Both of old age. Maternal grandfather and maternal grandmother are alive, and they only suffer from GERD and OA.

Social History Patient is only child and lives with his parents. He is currently on high school. He is enrolled in a dual program where he is taking college classes in advance. He spends most of his time studying. He has applied to various universities and expects to obtain full scholarship. Mother denies guns at home or exposure to second hand smoking. Patient does not work because his school requires him to spend a great amount of time to it. Both parents are very supportive of patient. Patient denies being sexually active and denies having a girlfriend. He has a group of close friends.

 You will perform a history of a nose, mouth, throat, or neck problem that your instructor has provided you or one that you have experienced, and you will perform an assessment including nose, mouth, throat, and neck. You will document your subjective and objective findings, identify actual or potential risks, and submit this in a Word document to the drop box provided.  

ApA format  please reference 

  

Topic for capstone 

.Implementing Opiod Risk assessment tool from a multidisciplinary pain management approach

The purpose of the doctoral capstone project was to: (a) provide education to nursing staff on implementing a structured risk assessment tool in order to identify risk for imminent aggression, manage risk for imminent aggressive behaviors 

Write a 6-8 page double-spaced paper with an additional template in which you analyze potential ethical considerations that may arise from your doctoral project. Determine strategies to address these ethical considerations.

Introduction

Ethical researchers act in honest ways. Ethics are conduct norms or standards that distinguish between right and wrong and acceptable and unacceptable behaviors. Ethical considerations matter because they guard against the fabrication or falsification of data. They promote the pursuit of knowledge and truth, research’s primary goal. Ethical behavior is also crucial for collaborative work because it encourages an environment of trust, accountability, and mutual respect among team members. Likewise, researchers must adhere to ethical standards for the public to support and believe in the research. Although most quality improvement and evidence based practice projects pose minimal risk to human subjects, an IRB screening process for your capstone project is required to ensure the project is meeting the appropriate ethical standards.

The Nuremberg Code (1947) protects human rights and is the leading code for conducting ethical research. It focuses on:

• Voluntary informed consent.
• Freedom to withdraw from research.
• Protection from physical and mental harm.
• Protection from suffering and death.

It also emphasizes the risk-benefit balance of conducting research. The Declaration of Helsinki (1964) underscored the importance of protecting subjects in research and strongly proclaimed that individuals’ well-being takes precedence over scientific and social interests.

Good research is well planned, appropriately designed, and ethically approved. Developing and following a research protocol helps to ensure this. Research needs to seek to answer specific questions rather than just collect data. Researchers must obtain approval from the Institutional Review Board or Ethics Committee. Researchers also need to pay special attention to vulnerable subjects to avoid breech of ethical codes. Although most quality improvement and evidence based practice projects pose minimal risk to human subjects, an IRB screening process for your capstone project is required to ensure the project is meeting the appropriate ethical standards.

The major ethical issues in conducting research usually involve:

• Informed consent.
• Beneficence—do no harm.
• Respect for anonymity and confidentiality.
• Respect for privacy.

You are responsible to ensure your project is conducted ethically and responsibly from planning to publication. Be familiar with ethical principles and follow them strictly. Discuss openly with the project team any potential ethical issues. If in doubt, consult the Institutional Review Board (IRB) for expert opinion and direction.

In this assessment, you will apply what you have learned from the CITI training and from your independent research on ethics to your doctoral project. In a 6- to 8-page paper plus a template, you will identify ethical considerations that may arise as part of your doctoral project. You will also identify strategies to address these ethical considerations.

Reference

World Medical Association General Assembly (2004). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. International Journal of Bioethics, 15(1), 124–9.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

• Competency 2: Apply strategies to maintain a climate of mutual respect and shared values.
  • Apply historical ethical principles to analyze potential ethical concerns related to your doctoral project.
  • Determine vulnerability or possible concerns for identified project participants.
  • Create strategies to address potential ethical risks related to the doctoral project.
  • Describe the IRB processes to be completed prior to starting the data collection process.
  • Describe possible future changes to your doctoral project that would require IRB approval and the process to follow to obtain this approval.
• Competency 4: Address assessment purpose in a well-organized text, incorporating appropriate evidence and tone in grammatically sound sentences.
  • Create a clear, well-organized, succinct, professional ethics analysis paper that uses appropriate tone and is generally free from errors in grammar, punctuation, and spelling.
  • Integrate relevant sources to support arguments, correctly formatting citations and references using APA style.

Preparation

To successfully prepare for this assessment, you will need to conduct independent research on ethics related to research studies. You will be asked to supply a minimum of five references in your ethics analysis paper over and above those provided under suggested resources.

• Rather than researching the importance of ethical practice (which of course is very important), focus your research efforts on other research studies that have been conducted that are similar to your proposed research. For example:
  • Can you locate other studies that took place in a setting similar to yours?
  • What other studies exist that used participants similar to yours?
  • What studies can you find that address a problem similar to yours?
  • Do other studies exist that used research tools similar to yours, such as surveys, questionnaires, health behavior models, performance improvement plans, et cetera?
  • Examine current resources available through peer-reviewed articles and professional and government websites. These guides can help you identify scholarly and authoritative sources:

Instructions

For this assessment, you will write a 6- to 8-page ethics analysis paper. Include the following headings in your paper and be sure to address the bullets underneath each heading:

Introduction

• In brief, what is your project about?
• Who are the major stakeholders involved?

History of Research Ethics

• What are the major principles in the history of research ethics?
• How do autonomy, beneficence, malfeasance, and distributive justice specifically apply to your project?

Human Subjects/Participants

• What human subjects/participants, if any, will be part of your project?
• What are the exclusion and inclusion criteria for any people who are part of your study?