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2023 Capitation Payers and Provider Behavior Please respond to the following Suggest at least one

Nursing 2023 Needed ASAP within 13 hours! Discussion question only! No intro or conclusion.

Capitation Payers and Provider Behavior Please respond to the following Suggest at least one 2023 Assignment

“Capitation, Payers, and Provider Behavior”  Please respond to the following:

  • Suggest at least one (1) method by which capitation rates are set for health maintenance organizations in Medicare. Provide one (1) example of an HMO with these types of set rates in order to support your response.
  • Compare the primary available economic resources that health insurance payers may use to monitor, assess, and regulate health care providers’ behavior. Evaluate the degree to which alternative provider payment methods (e.g., capitation, pay for performance, etc.) impact HMO economic and business performance. Provide one (1) example of such a type of method to support your response.

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2023 Sustaining change can be difficult as there are many variables that can affect implementation One critical component of

Nursing 2023 Professional Capstone and practicum

Sustaining change can be difficult as there are many variables that can affect implementation One critical component of 2023 Assignment

Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now, and your strategies for overcoming these barriers.

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2023 APA format 3 peer review references Response needs to be why you disagree or agree with

Nursing 2023 need response to below discussion

APA format 3 peer review references Response needs to be why you disagree or agree with 2023 Assignment

APA format 3 peer review references Response needs to be why you disagree or agree with diffential diagnosis and why

 

Patient Information:

TB, 20-year-old, Male, Caucasian

S.

CC Intermittent headaches.

HPI: T.B. is a 20-year-old Caucasian male who presents with intermittent, diffuse headaches.  His headaches have been occurring every week or so since Spring, 2018.  These headaches last for 2 to 3 days and occur over entire head but is worse above the eyes and radiates the nose, cheekbones, and jaw. The pain is described as a pressure that is intense above the eyes. There are no associated signs or symptoms, other than mild relief when enters a dark room.  T.B has not discovered a condition that makes headaches occur or worsen. Currently, the pain is rated as 7/10 pain scale.

Current Medications: Intermittent Acetaminophen Extra Strength 2 several times a day with headaches

Allergies: None is known to date. 

PMHx: Reports has received all recommended immunizations and last tetanus is in 2016.  Appendectomy at age 15.

Soc Hx: Patient is a part-time student at local community college and works part-time as a Barista.  He denies tobacco or recreational drug use, no alcohol use since 2017 in high school. He reports recently beginning to vape.  He lives with a roommate in an apartment and reports has been more active as walks 3 miles daily to work and school.

Fam Hx: Mother is living and in good health.  Father has not been in the patient’s life since infancy.  Sister was diagnosed with epilepsy several years ago.   Patient reports no known family history of cancer or neurological issues

ROS:

GENERAL:  Patient reports no weight loss or fever

HEENT:  Eyes:  Patient reports no visual changes

Ears, Nose, Throat:  Patient reports no hearing loss, congestion, runny nose or sore throat.

SKIN:  Patient reports no rash or itching.

CARDIOVASCULAR:  Patient reports no chest pain, chest pressure or chest discomfort.

RESPIRATORY:  Patient reports no shortness of breath, cough or sputum.

NEUROLOGICAL:  Patient reports no dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities.

LYMPHATICS:  Patient denies knowledge of enlarged nodes. No history of splenectomy.

PSYCHIATRIC:  No history of depression or anxiety reported.

ENDOCRINOLOGIC:  No reports of sweating, cold or heat intolerance. No polyuria or polydipsia reported.

ALLERGIES:  No history of asthma, hives, eczema or rhinitis reported.

O.

Physical exam:

Diagnostic results: MRI should be considered to determine if there is a demyelinating disease or tumor triggering pain. There is no actual diagnostic tool for trigeminal neuralgia temporal, but other causes should be ruled out (Ball, Dains, Flynn, Solomon, & Stewart, 2015).

CT Scan could be ordered if felt to be sinusitis that does not respond to conservative or antibiotic treatment can lead to rare but dangerous sphenoid sinusitis affecting nerves (Velayudhan, Chaudhry, Smoker, Shinder, & Reede, 2017). CT scan is preferred over MRI for sinusitis diagnosis. 

A dental referral would be recommended if another diagnosis is ruled out or pain has oral pain or sign of dental inflammation.

Additional questions for the patient would be

Do you associate the pain with a specific event or timing?

How long have you experienced this pain?

Is the pain increasing, decreasing, or staying the same?

What makes the pain better?

Have you experienced similar pain before?

Do you have pain with chewing?

Do you grind your teeth?

Do you have nasal or postnasal drainage?

Do you have a fever?

A.  Headache with facial pain

Differential Diagnosis:

Trigeminal neuralgia temporal: The trigeminal nerve sends impulses to the upper, middle, and lower portions of the face. In this case, more than one nerve branch may be irritated and sending signals of pain to the upper head and the middle including the nose, cheekbones, and jaw.  It is possible for this pain to be bilateral (National Institute of Neurological Disorders and Stroke, n.d).  Some possible triggers of trigeminal pressure might be pressure from blood vessels or rarely a tumor. Another trigger could be demyelination, such as Multiple Sclerosis (MS). Ball, Dains, Flynn, Solomon, & Stewart (2015) report this condition occurs in older patients. An MRI should be considered to determine if another diagnosis such as MS is triggering the pain.

Headache due to reaction from electric cigarette/Vaping.  Cai & Wang (2017) shared the strong evidence of neurological effects from e-cigarette solvents and flavor additives.  The substances produced from vaping are acrolein, glycerol, propylene oxide, ethyl, ethyl matol, and methol which are toxic and related to neurological issues. Li, Zhan, Wang, Leischow, and Zeng (2016) reported severe headaches occurred after e-cigarette use due to high nicotine and propylene glycol. Fruit flavors also contributed

Sinusitis:  The frontal sinuses lie above the eyes which could contribute to the primary site of pain. The maxillary sinus could be inflamed causing the upper jaw, teeth, nose and cheek pain. One concern is sinusitis typically has postnasal discharge (Ball, Dains, Flynn, Solomon, & Stewart, 2015)

Tension-type headache (TTH):  A primary symptom of TTH is a hatband pain distribution (Ball, Dains, Flynn, Solomon, Stewart (2015).  Although rare, Wagner and Moreira Filho (2018) studied a TTH combined with temporomandibular junction sleep bruxism occurs during periods of anxiety.  This combined scenario could reflect the upper eye and jaw, cheek pain.

Dental Caries or Malocclusion: Ball, Dains, Flynn, Solomon, and Stewart (2015) reports dental disease is a primary source of pain in the jaw, but also could cause pain at top of the head.  In our patient’s case, the pain starts below the forehead and radiates lower making this diagnosis less likely.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.

Hua Cai, & Chen Wang. (2017). Graphical review: The redox dark side of e-cigarettes; exposure to oxidants and public health concerns. Redox Biology 3(C) 402-406 https://doi-org.ezp.waldenulibrary.org/10.1016/j.redox.2017.05.013

Li, Q., Zhan, Y., Wang, L., Leischow, S. J., & Zeng, D. D. (2016). Analysis of symptoms and their potential associations with e-liquids’ components: a social media study. BMC public health, 16, 674. doi:10.1186/s12889-016-3326-0

National Institute of Neurological Disorders and Stroke. (n.d). Trigeminal neuralgia fact sheet. Retrieved from https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Trigeminal-Neuralgia-Fact-Sheet

Velayudhan, V., Chaudhry, Z. A., Smoker, W. R. K., Shinder, R., & Reede, D. L. (2017). Imaging of intracranial and orbital complications of sinusitis and atypical sinus infection: What the radiologist needs to know. Current Problems in Diagnostic Radiology, 46(6), 441–451. https://doi-org.ezp.waldenulibrary.org/10.1067/j.cpradiol.2017.01.006

Wagner, B. de A., & Moreira Filho, P. F. (2018). Painful temporomandibular disorder, sleep bruxism, anxiety symptoms and subjective sleep quality among military firefighters with frequent episodic tension-type headache. Arquivos De Neuro-Psiquiatria, 76(6), 387–392. https://doi-org.ezp.waldenulibrary.org/10.1590/0004-282X20180043

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2023 Personal Philosophy of Nursing Paper Write your personal philosophy of nursing The paper should be three typewritten double spaced pages

Nursing 2023 Philosophy of Nursing

Personal Philosophy of Nursing Paper Write your personal philosophy of nursing The paper should be three typewritten double spaced pages 2023 Assignment

Personal Philosophy of Nursing Paper

Write your personal philosophy of nursing. The paper should be three typewritten double spaced pages following APA style guidelines. The paper should address the following:

1. Introduction that includes who you are and where you practice nursing

2. Definition of Nursing

3. Assumptions or underlying beliefs

4. Definitions and examples of the major domains (person, health, and environment) of nursing

5. Summary that includes:

a. How are the domains connected?

b. What is your vision of nursing for the future?

c. What are the challenges that you will face as a nurse?

d. What are your goals for professional development?

Your paper must be written in APA style. 

The paper will be checked for plagiarism.

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2023 It should also be noted that before collecting any data one ought to choose

Nursing 2023 Answer this question

It should also be noted that before collecting any data one ought to choose 2023 Assignment

It should also be noted that before collecting any data, one ought to choose the significance level. This is done for several reasons. First and foremost, it is done to prevent the data quantity from influencing one’s decision. Second, the same applies for the quality. In short, in order to ascertain that bias didn’t enter such a study, strict order should be followed.

What will happen when you allow the data to dictate your decision? Well, for one, it will be very similar to a roulette table, where you are about to lay your bets after the ball has just landed on a particular number. That as you surely understand would constitute bias.

What else would be wrong to not follow this order?

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2023 Comment1 The Centers for Medicare and Medicaid Services CMS implemented a non reimbursement policy

Nursing 2023 Comment

Comment1 The Centers for Medicare and Medicaid Services CMS implemented a non reimbursement policy 2023 Assignment

Comment1

The Centers for Medicare and Medicaid Services (CMS) implemented a non-reimbursement policy for certain never events(serious hospital acquired conditions) to encourage hospitals to fast track improvements of patient’s safety by applying standardized protocols.  The newly defined never events limits the hospitals to bill Medicare for adverse events and complications that are deemed reasonably preventable using evidence-based guidelines (Lembitz & Clarke, 2009).

CMS adopted the non-reimbursement policy for certain “never events” – defined as “non-reimbursable serious hospital-acquired conditions” – in order to motivate hospitals to accelerate improvement of patient safety by implementation of standardized protocols. These newly defined “never events” limit the ability of the hospitals to bill Medicare for adverse events and complications. The non-reimbursable conditions apply only to those events deemed “reasonably preventable” through the use of evidence-based guidelines (Lembitz & Clarke, 2009).

The Centers for Medicare and Medicaid Services (CMS) implemented never events in 2008 as non-reimbursable hospital acquired conditions to create motivation for hospitals to improve patient safety.  Never events are medical errors that should never happen to a patient.  The list includes events which are chiefly avoidable and are obvious negligence.  The Centers for Medicare and Medicaid Services (CMS) adopted never events in 2008 as non-reimbursable hospital-acquired conditions in to create motivation for hospitals to improve patient safety (Votroubek, 2018).

Comment2

Patients have turned to hospitals, especially via emergency departments, as a result of lack of access to health care at a much higher cost than primary care. This has forced hospitals to provide care at a portion of the expense used to being the safety net of health care. In the beginning of this surge, organizations could not foreseen the financial brunt this would cost. Patients went from wanting to be cared for at home by loved ones, to expecting end all care at the hospitals taking a toll on such organizations. Many providers loathe and accept the endless cycle of patients returning to the hospital for care. The U.S Centers for Medicare & Medicare recognized that many of these return visits in short time frames, less than a month, are a reflection of lack of adequate care, education, and resources, so they created policies that hinder repayment for the diagnosis that were recently treated. “These patient safety policies are part of CMS’ efforts to promote higher quality, more efficient health care through value-based purchasing, which are initiatives use performance-based financial incentives and public reporting of quality information to encourage improvement in all aspects of quality, including patient safety” (CMS, 2008). These new reimbursement rules guide providers towards holistic patient care, driving them to decrease readmission rates, diagnostic imaging rates, and focusing on closing the loop in health care.

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2023 Comment 1 There are numerous ways to communicate with the stakeholders as well

Nursing 2023 Please Do A Comment Base In This Answers. Write At Least 140 Words In Each Answer, Take Reference From (2013-2018) If Is Possible, Academic References Please Because The Teacher Check It Out One By One. SUSTANTIVE POST NEEDED

Comment 1 There are numerous ways to communicate with the stakeholders as well 2023 Assignment

Comment 1

There are numerous ways to communicate with the stakeholders as well as the executives of the hospital. Communication is an important means of transmitting information as well as making other understand oneself. As a leader, I would start sharing my outreach program vision by using written communication. This will help me share effectively and thoroughly through explaining how this program will benefit the entire community. I would also organize a meeting to provide a professional presentation concerning the program’s benefits. I would use non-verbal communication methodologies to make the community members see my vision like making eye contact, having an open stance and smiling among others. I would use effective verbal communication through speaking clearly as well as allow time for others to communicate (Huber, 2018). This will help communicate effectively my vision for the outreach program.

Strategic management may be described as organization management based on its vision. To accomplish this, one needs to develop a vision, set objectives, develop strategies, execute the strategies as well as evaluate the outcomes. I would use the strategic management process to make the outreach program vision a reality. In the written communication as well as the presentation I will ensure that my mission and vision of the outreach program are stated clearly to make sure that stakeholders and the executives understand the purpose of this program. Setting objectives mean explaining the program goal and creating an implementation strategy mean explaining my plan on how to reach the goals. After the executives and the stakeholders decide to execute the strategies for developing an outreach program, then I would evaluate the program effectiveness constantly (Huber, 2018). As a leader, using the strategic management will allow me understand the community needs, determine the community future and set achievable goals and plans.

Comment 2

There are a wide range of tools that can be used for outreach program and implementation of strategic management. Strategic management is defined as the process by which managers of the firm analyze the internal and external environments for the purpose of formulating strategies and allocating resources to develop a competitive advantage in an industry that allows for the successful achievement 00resources, processes and skills and also monitoring of action steps in order to cope with unpredictable internal and external factors. Management in this context therefore indicates the ability to manage the constant changing circumstances, which organizations have to face regularly. Strategic management is therefore said to “understand the strategic position of an organization, its strategic choices for the future and turning strategies into action.” Huber, D. (2014).  Strategic management is, in terms of decision making, not only in the organization of operation-based procedures but also includes more organizational, non- routine and more complex procedures.

 I will use stakeholder approach for the outreach program become reality. The idea of stakeholder approach to strategic management, suggests that managers must formulate and implement processes 00is to manage and integrate the relationships and interests of shareholders, employees, customers, suppliers, communities and other groups in a way that ensures the long-term success of the firm. A stakeholder approach accentuates active management of the business environment, relationships and the promotion of shared interests. Stakeholder approach encourages management to develop strategies by looking out from the firm and identifying, and investing in, all the relationships that will ensure long-term success.

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2023 reply to other students and include a reference that justifies your post Your reply must be at least 3

Nursing 2023 Nursing role and scope. peer reply to DQ 9 (wendy trujillo)

reply to other students and include a reference that justifies your post Your reply must be at least 3 2023 Assignment

 

reply to  other students and include a reference that justifies your post.  Your reply must be at least 3 paragraphs. 

Below is the DQ answer from another student to wish i have to react. 

 

Week Discussion

1. Applications which incorporate the design of safety and quality, which plays a role in the knowledge of theirs of their responsibility and contribution in meeting international standards of quality andsafety are needed by Health person energy education institutions. In this feeling, the instruction of nursing professionals is regarded as a crucial component, their permanence and presence in overall health services place nurses in a crucial condition, both due to the threat of errors as well as their potential and ability to market patient safety (Cantiello, Kitsantas, Moncada, & Abdul, 2016). His involvement in most care processes, as well as his involvement throughout the health team, requires that his training ensure his ability to develop an active role in promoting quality and safety in care.

Lastly, with regard to the range of the receiver of care, promoting citizen participation for quality as well as safety issues is crucial to the improvement of more secure health methods. Patient empowerment is viewed as an important measure, Who defines empowerment as the task by which individuals take control of decisions plus actions affecting the health of theirs (Masters, 2015). It’s related to improving the patient ‘s comprehension of his or maybe the own role of her in marketing, maintaining, restoring and monitoring his or maybe the health of her, in addition to the data as well as abilities adequate to have the ability to participate in boosting the health of his; along with the above mentioned, the existence of a facilitation atmosphere for the participation of its is important.

To meet the task of safety and quality of care needs institutional, multidisciplinary, individual and interdisciplinary engagement on the part of the suppliers as well as the receiver of the care itself. The contribution of each party active in the well being area is going to ensure the care provided meets quality standards and it is totally free for those users; everybody’s duty is important. There’s proof of several improvement in the area, international and national levels; however, the differences in quality and protection offered in the different institutions stay obvious, extra energy must be created tosharpenthe notice which is provided to every person, no matter the institution type to which he or maybe she requests treatment, is of quality that is high and secure (Cantiello, Kitsantas, Moncada, & Abdul, 2016).

2. General, the biggest occupational set of the workforce is represented by nursing professionals. Offering the greatest portion of attention in all levels of continuing care, representing a major proportion of the operational expenses of the respective health treatment facilities. The healthcare team contains the best involvement of overall health procedures, enabling these professionals, due to their better proximity to individuals, to play a pertinent part in their quality and safety of care, but additionally, they’re important agents in minimizing the result ofadverse occasions (Dufour, Duhoux, & Contandriopoulos, 2020).

Nursing knows the wellness of the public and also the inequalities it’s are conceptualized in a type of systems that are complex, with interdependent components at levels that are different inside a connected whole. That several health consequences, like socio economic, cultural, environmental, social, biological and behavioural elements, interact in the development of public overall health results is implied by this perspective. In order to enhance these outcomes, the behaviour of people must be recognized as an important component and also, consequently, interventions without an extensive comprehension of this particular complexity would suggest ignoring an essential component of the science of Care.

The matter for quality treatment isn’t a recently available problem for nursing, as it’s grounded in expert process. The safety and quality of nursing care is viewed as a unifying component because: the improvement of self-discipline is enabled by them, demand professionals to handle a technique of systematic analysis of attention as well as placing experts as an immensely important component of the group. It’s vital to realizerecognise that patient quality plus safety have to be viewed as a continuing process, enabling steps which lead to substantial improvements (Masters, 2015). Among the crucial issues of the 21st century is understanding what nursing is now operating as well as changing, to incorporate quality as a crucial target in nursing procedures.

3. Enhancing the quality of nursing products by defining criteria which change into measurement equipment , and that guarantee the important problems for the proper care provided by nursing staff being supplied with possibilities, in a secure, humane and efficient surroundings throughout the unified health program. The individual that goes into a clinic is weak in hisphysical planet and animosity. During hospitalization, a number of incidents are able to happen which cause pain and quite often escape sequencles boosting the length of morbidity or maybe hospitalization mortality (Dufour, Duhoux, & Contandriopoulos, 2020). Human error is a determining factor in serious events and the event, that could be connected with different causes: perilous actions, procedural violations, fatigue, anxiety, haste, inattention, neglect, inadequate specialized knowledge, insufficient staff amongst others

The nursing quality market possesses a process of info in put that processes information from nurses’ documents as well as inspection results. The organization of its in organized databases for yearly periods offered real time info on the content of its which was used-to illustrate the reports that the nursing quality area occasionally printed because of the dissemination of the outcomes. Automation of nursing data in directories is a hospital based assessment as well as advancement approach which identifies the likelihood of negative health consequences, helps with the detection of the follow-up and at-risk patients of the IEA process (Dufour, Duhoux, & Contandriopoulos, 2020). The nursing objective assessment verification system continues to be established as a good tool to enhance the quality of work in nursing products.

Health methods must also provide proper therapy to owners of clinic services, i.e. offer health services in a framework which respects the dignity of people, the autonomy of theirs and also the confidentiality ofinformation. This is applicable to both curative and wellness promotion strategies. Treatment that is appropriate additionally means to choose the therapy physician or maybe the original contact clinic that you want to receive therapy. Have presentable overall services in overall health services, hold out a fair length of time for intervention or consultation, and also obtain social support networks, particularly during hospital admissions.

References

Cantiello, J., Kitsantas, P., Moncada, S., & Abdul, S. (2016). The evolution of quality improvement in healthcare: patient-centered care and health information technology applications. J Hosp Admin, 5, 62-8.

Dufour, É., Duhoux, A., & Contandriopoulos, D. (2020). Measurement and Validation of Primary Care Nursing Indicators Based on a Wound Care Tracer Condition. Journal of nursing care quality, 35(1), 63-69.

 Masters, K. (2015). Role Development in Professional Nursing Practice. Edition: 4th. Jones & Bartlett Learning, LLC. ISBN 13: 9781284078329

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2023 Using APA format write a 3 4 page paper Part I Compare and contrast Diabetes

Nursing 2023 Write a 3-4 page paper on Diabetes Type 1 and Diabetes Type 2

Using APA format write a 3 4 page paper Part I Compare and contrast Diabetes 2023 Assignment

Using APA format, write a 3-4 page paper.

Part I – Compare and contrast Diabetes Type 1 and Diabetes Type 2. 

Part II – Prepare a full day meal plan (breakfast, lunch, dinner and 2 snacks) that includes portion size, calories and nutrients.

Part III – Discuss treatments available, including oral and parenteral medications 

Part IV – Discuss potential medical complications for undiagnosed cases and complications as a result of patient non-compliance. 

Use correct APA format, grammar and citations 

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2023 WK3 kmc To be a change agent means to transform the environment that needs

Nursing 2023 nursing leadership

WK3 kmc To be a change agent means to transform the environment that needs 2023 Assignment

WK3/kmc 

To be a change agent means to transform the environment that needs to be worked upon. “Being a change agent is a major function for nurses. Nurses are on the floor seeing the effects medicine and the health care system is having on the patient” (Keyes, 2017). I personally have yet to act as a change agent, but I have witnessed it in my own facility. Just recently we switched how we handle wound care. The hospital went years without a hospital-acquired wound, and sadly they had 14. Due to the reoccurring issues, a team of nurses, physicians, CNAs, CNO, etc. all gather together to come up with a plan and implement it. Included in this plan was: a turn schedule, inquiring more/better air mattresses, and wound care education for everyone. With the new plan in place, the wounds have decreased and the existing wounds have healed better as well.

In just the last month, our charting system has been updated. Our old system had many complaints, issues, too many steps and overall just wasn’t the best. The new charting is more efficient for the medical staff in that it takes less amount of time to chart. Also, steps and certain things like IVs, wounds don’t have to be re-charted unless there was a change. In addition, with the old charting, the same questions and answers would have to be re-charted when the ER admitted a patient. With the new charting in place, admissions to the floor take half the time than before. Nurses were definitely on the list when implementing this change. It took some years to come up with a plan and put it into place, but it happened and it works. We use the system probably more than anyone else and voiced our concerns for a change. Nurses “play a critical role in shaping the health care system of the future” (Keyes, 2017) someday I too hope to become a change agent.

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