Imagine that you are a senior consultant at Practical Health Care Consulting firm. Your supervisor has instructed you to spend three (3) months at the Caring Angel Hospital to help improve the quality of care, add value to the organization, improve employee morale, design an efficient organizational chart, create a strong team environment, and create the hospital’s competitive advantage. The hospital has traditionally made losses year after year. Furthermore, it is not performing well financially, and the banks are not willing to lend it large sums of money for more effective marketing.

After spending two (2) months within the hospital, you are very happy with your progress, and you think you are capable of acquiring more patient base and expanding the hospital market. However, with a closer look, you notice that your patients are still hopping from one specialized hospital to another in search of various specialized treatments. You also notice that the seats are not comfortable in the waiting area, and the patients continuously show up for appointments on the wrong dates. The nurses and the employees are not smiling during patient conversations, and everyone looks for ways to blame others for failures in the patient treatment process. Everyone seems to work alone and hide what they do from their colleagues.

At the end of the three (3) month period, you must provide a report with your recommended strategies designed to help Caring Angel Hospital achieve its goals. Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.

Write a four to six (4-6) page paper in which you:

From a consulting perspective, propose the major steps that Caring Angel Hospital could take to achieve each of the following goals:

• Improve the quality of care
• Add value to the organization
• Improve employee morale
• Design an efficient organizational chart
• Create a strong team environment
• Create the hospital’s competitive edge.
• Recommend one (1) approach that the hospital could use for acquiring a larger market share given the prevailing financial circumstances. Justify your recommendation.
• Investigate at least two (2) value-added services that Caring Angel Hospital could offer to strengthen its value proposition. Provide at least two (2) examples of the advantages of these value-added services to the hospital.
• Use four (4) recent (within the last five [5] years) quality academic resources in this assignment.
  Note: Wikipedia and other websites do not qualify as quality academic resources.

Your assignment must follow these formatting requirements:

• Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
• Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

• Propose methodologies that have been proven to increase value in health care delivery systems.
• Examine leadership and management frameworks that are most applicable to a certain organization type within the health care industry.
• Assess how politics in a health care organization motivates and demotivates employees, and recommend strategies to mitigate the challenges presented with each aspect.
• Create a communication strategy to address an ethical dilemma within a health care organization regarding the quality of service and cost.
• Craft a strategic plan that leads to a competitive advantage within a certain market.
• Determine best practices for establishing and maintaining strategic alliances within the health care industry or enterprise.
• Use technology and information resources to research issues in health care management.
• Write clearly and concisely about health care management using proper writing mechanics.

Discussion #1

The Essentials of Master’s Education in Nursing reelects the profession’s continuing call for imagination, transformative thinking, and evolutionary change. 

-Explain the importance of following the essentials of Master’s Education in Nursing in a clinical nurse practitioner program such as the FNU? 

-Please select one of the essentials and expand as to why the selected essential is crucial in succeeding in this program. (Essentials I-IX)

Discussion Rubric

The initial post will be regarding the topic of the week and will be a minimum of 250 words. Make sure you provide appropriate references and utilize APA style.

1–Information is clear and relates to topic

2- Provides relevant resources using APA guidelines 

3- Enhances the critical thinking process through premise reflection 

Please answer each question by separated. 

1. Describe the characteristics of the aging process. Explain how some of the characteristics may lead to elder abuse (memory issues, vulnerability, etc.). Discuss the types of consideration a nurse must be mindful of while performing a health assessment on a geriatric patient as compared to a middle-aged adult. 

2. 

End-of-life care becomes an issue at some point for elderly clients. Even with the emergence of palliative care programs and hospice programs, most elderly people do not die in their own home as is their preference. What are the reasons for this trend? Discuss what you can do as a nurse to support your clients regarding end-of-life care in accordance with their wishes. Support your response with evidence-based literature.

Discussion: Working With Children and Adolescents Versus Adults

Infant, childhood, and adolescent development are a continual interplay between nature (genetic or biologic predisposition) and nurture (environmental experiences). The nature/nurture continuum and debate will always be a part of your career as a PMHNP.  Knowing common developmental milestone is important in the role as a child provider. Not only is it essential to the diagnostic process, but it is also important to the interdisciplinary interactions with other mental health professionals. The study of normal developmental processes, however, is only one tool that allows the mental health professional to understand the child being evaluated. There are many different assessment instruments and interviewing techniques that PMHNPs can have in their toolkit when working with children and adolescents.

In this Discussion, you examine the differences in assessing and treating children and adolescents versus adults. You take into consideration your own clinical experiences, as well as your experiences in your clinical rotation, and the information from the readings thus far.

Post your answers to the following:

• Explain why a developmental assessment of children and adolescents is important.
• Describe two assessment instruments and explain why they are used for children and adolescents but not adults. 
• Describe two treatment options for children and adolescents that may not be used when treating adults.
• Explain the role parents play in assessment and treatment.