Assignment: Evidence-Based Project, Part 4: Recommending an Evidence-Based Practice Change

The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.

In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

To Prepare:

• Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
• Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
• Consider the best method of disseminating the results of your presentation to an audience. 

The Assignment: (Evidence-Based Project)

Part 4: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:

• Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
• Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
• Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
• Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
• Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
• Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
• Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
• Add a lessons learned section that includes the following:
  • A summary of the critical appraisal of the peer-reviewed articles you previously submitted
  • An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

HA4070D – Regulatory Environment in Health Care

Assignment 06: Appealing Decisions

 

Directions

Complete the questions below based on the problem identified. Your written response should be no less than two to three pages in length.

Problem: Mr. H. was a diabetic and had severe ulcers on his feet. He was a member of an HMO, and his primary care physician had prescribed a treatment regimen that was proving ineffective. In response, the primary care physician offered Mr. H. an amputation below the knee that was his only option. Mr. H. went out of plan to a local wound care center that specialized in diabetic wound treatment where he was advised that vein by-pass surgery would likely take care of his problem. The HMO denied such surgery because Mr. H. referred himself to the specialist without permission. The HMO advised Mr. H.’s family that its utilization review department was reviewing the case, but that it would take at least a month to review. Subsequently, the HMO agreed to approve such surgery, but only if done by Mr. H.’s current medical group, which did not have any physician who had ever performed vein by-pass surgery. Mr. H.’s family asked for him to be transferred to a primary care physician at the medical group that staffs the wound care center. The HMO responded that although they sometimes approve such requests, they would not do so in Mr. H.’s case and that they had already granted enough of his requests. They gave as their reason a provision in the plan documents that prevent referrals outside the plan’s network when the network’s physicians have the capability to perform the required procedure.

This problem is adapted from a real case history developed by the Center for Health Care Rights in California.

• What procedural remedies does the patient likely have under private insurance and under Medicare or Medicaid?

• Are they adequate?

Be sure to include the following based on the criteria below:

Student examines legal issues related to healthcare rationing and medical necessity.

Student identifies remedies the patient would have under private insurance and if they are adequate.

Student identifies remedies the patient would have under Medicare and if they are adequate.

Student identifies remedies the patient would have under Medicaid and if they are adequate.

 The Law of Health Care  Finance & Regulation-Vitalsource Bookself-username-crtshhill49@yahoo.com-Password-#magicMAN61

 In this assignment, you will create a concept map with stress as the center and potential affected body systems and the pathophysiologic disease processes occurring in that body system as a result of the stressor(s) to create the spokes of the concept map.

Step 1 Select the life stage of the patient that will be represented by the concept map.
Choose from the following age groups:

• Child (3–12)
• Adolescent (13–19)
• Young Adult (20–39)
• Adult (40–64)
• Mature Adult (65+

 Step 2 Download the  attachment 

 Step 3 Using the concept map format:

• Describe the response to a stressor and the meaning that the stressor has for an individual in an age group of your choosing.
• Depict how genetics, past experiences, conditioning, and cultural influences affect perception of stress and stressors in your selected age group?
• Indicate how stressors may be external or internal for the age group you have selected.
• Describe how individuals may be more vulnerable to the effects of stressors at certain times.

2. What is the Christian concept of the imago Dei? How might it be important to health care, and why is it relevant? 

Student Answer:   Chiamaka Ezeh Re: Topic 2 DQ 1

What is the Christian concept of the imago Dei?

The concept of Imago Dei is the biblical Christian belief that man was made in the image of God. The image in question is not physical features or appearance but from his character, form, and uniqueness. God is a triune God which means that he is the Father, the Son, and the Holy Spirit. Man, also is a triune being, made of spirit, soul, and body. The character of God is love, compassion, kindness, peace, forgiveness, power, authority, holiness, and righteousness, so God created man to imitate these characters and to treat each other with love and kindness.

Also, just like God oversees heaven, he wants man to take charge of the earth. White (2020).

How might it be important to health care, and why is it relevant?

Viewing individuals in the image of God makes it easy for us to show compassion, empathy, and respect to others knowing that whatsoever we do to the least of our brothers, that we do onto God himself. This is important because it promotes human-to-human connection and dignity. Mark (2017).

It also teaches us to treat the sick and dying with dignity and respect leading to positive outcomes.

Finally, it makes us view human life as the most valuable thing in the world. All healthcare workers should adopt this ideology, knowing that each life is significant, meaningful, deserving of respect, love, and kindness.

References:

Mark J., C. (2017) Created in the Image of God: Bioethical Implications of the Imago Dei, Christian bioethics: Non-Ecumenical Studies in Medical Morality, Volume 23, Issue 3, December 2017, Pages 219–233, https://doi.org/10.1093/cb/cbx009

White, N. (2020). Practicing Dignity: An Introduction to Christian Values and Decision Making in Health Care.https://lc.gcumedia.com/phi413v/practicing-dignity-an-introduction-to-christian-values-and-decision-making-in-health-care/v1.1/#/chapter/2