Ethical Decision Making & Medical Malpractice

HCM 345 – Mod 4 – Please select either one, do not do both. Read the details and Rubric.

OPTION #1: MEDICAL MALPRACTICE
Medical malpractice laws vary from state to state. Research the medical malpractice laws in the state you live in or the state where you hope to work as a healthcare provider. Imagine that you are already working in the healthcare field. It is your responsibility to develop a training for new medical providers to complete before they are allowed to treat patients. The training will be computer generated and you are the voice over. Prepare a power point presentation that briefly covers the laws of medical malpractice in your state.

Identify and provide a thorough analysis of the key aspects of the law that medical providers need to be aware. Also include several strategies and rationales to prevent or avoid a medical malpractice lawsuit.

Your presentation should meet the following requirements:

Be well-organized, using APA level headings to separate your topics. (For more information on APA headings, see the Purdue OWL page on APA headings and structures (Links to an external site.)Links to an external site..)
Consist of 5-6 slides including the title and reference page.
Include a voice over for each power point slide. This should include a narration of the content included on each slide. Since you are using voice over, your slides do not necessarily need to contain words but instead can be filled with graphs, charts, infographics, etc. For technical support on adding voice over to your PowerPoint use this link: https://support.office.com/en-us/article/record-a-slide-show-with-narration-and-slide-timings-0b9502c6-5f6c-40ae-b1e7-e47d8741161c (Links to an external site.)Links to an external site..
Support your assignment with at least 2-4 scholarly, legislative, or court references (of which the textbook may be one). Use current sources, not older than 5 years. The CSU-Global Library is good place to find these references.
Follow the CSU-Global Guide to Writing and APA Requirements (Links to an external site.)Links to an external site..

South Strategic Management of Health Care Organizations

Read the following article:

Hospital at Home Program in New Mexico Improves Care Quality and Patient Satisfaction while Reducing Costs

Complete a detailed case study analysis of the given case, using the process described in Analyzing Strategic Health Care Cases in your course textbook Strategic Management of Health Care Organizations.

Your completed case study analysis report will include the following sections:

  • Executive summary
  • Key issues
  • Situational analysis
  • Strategy formulation
  • Recommendation
  • Implementation strategies
  • Benchmarks for success and contingency plans

Resources

Gorski, L. A. (2016). Implementing home health standards in clinical practice. Home Healthcare Now, 34(2), 76.

Ticona, L., & Schulman, K. A. (2016). Extreme home makeover — the role of intensive home health care. The New England Journal of Medicine, 375(18), 1707.

To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Your assignment should be addressed in a 2- to 3-page document.

Medical Office Database ERD System Design And Business Rules

A small medical office needs a database system designed. The design starts with a visualized conceptualization carried by an entity-relationship diagram (ERD). Create this ERD by completing the following steps:

  1. Identify all involved in the database system so your ERD accurately “captures” the entire process, actors, and relationships (e.g., staff, patients, suppliers, carriers, etc.).
  2. Identify and list entities and attributes for each entity.
  3. Make sure you designate an attribute to serve as a primary key per each entity. Explain why that attribute “deserves” to be designated a primary key.
  4. Briefly define business rules. (Example: One patient can’t schedule more than one appointment at a time.)

It is important that you have a clear understanding of key concepts such as entity, attribute, primary key, foreign key, referential integrity, relationships, ERD, etc., before starting to work on the assignment.
Example:
Entity – Nurse
Attributes: Employee ID (Primary Key), Name, Address, DOB, SSN, License Number.

The ERD should be created using one of the following options:

  1. Draw using a free drawing tool available online, such as SmartDraw (Links to an external site.)Links to an external site. or Lucid Chart (Links to an external site.)Links to an external site..
  2. Draw using software you already own, such as Visio (Links to an external site.)Links to an external site. or Argo UML (Links to an external site.)Links to an external site..
  3. Draw by hand and take a snapshot with a camera.

Operations Planning for Group Medical Practice

Imagine that a group of physicians who are planning to open a single-specialty group practice has hired you as a consultant. Your job is to advise the physicians in creating a business plan that includes management strategies that will help ensure their success. The physicians have stipulated that the plan must promote medical excellence and limit their exposure to risks associated with the practice of medicine and the operational functions of the practice. In addition, they are aware that a public health emergency or natural disaster could have had a significant impact on their practice, and want to include a strategy for emergency preparedness as part of their plan so that they will be able to manage their patients and help serve the community as needed.

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

  1. Compare and contrast the two (2) main levels (i.e., internal comparison and external comparison) of financial benchmarking. Next, analyze the strategic purpose of each level of benchmarking and specify the overall importance of benchmarking as a financial planning tool for a medical practice.
  2. Recommend a Health Information Technology (HIT) system that includes an Electronic Health Record (EHR) for the new practice to implement. Support your recommendation by determining three (3) main benefits of having this type of system for the practice.
  3. According to the text (page 368), some of the main areas of risk exposure for a group practice include: property (general liability and safety), technology, and financial practices. Determine one (1) specific hazard associated with one (1) of these risk categories and propose a strategy to mitigate the impact this risk could have on the practice. Support your analysis with a real-life example.
  4. Determine the main functions of the practice that will need to remain operational before, during, and / or after a natural disaster or public health emergency. Next, suggest a strategy that the practice should take to maintain communication with employees and patients, secure patient and financial records, and ensure that resources will available to care for patients during a disaster or emergency. Provide a rationale for your response.

Using Prison Programs to Manage Inmates

Overview

Prison programs encompass different forms of structured activities that take inmates out of their cells. Programs can take different forms. They can be based on different theories, principles, and philosophies. Varying correctional programs are utilized to manage inmate time. Program types include rehabilitative, psychological, medical, industrial, recreational, and facility maintenance. These programs often mitigate the oppressiveness of time, and keep inmates engaged rather than idle while behind bars.

Instructions

View the Riverbend City: Prison media piece. Focus on the tab Prison Programs.

You have been tasked, by the warden, with creating a presentation that will be used at an upcoming corrections conference, focusing on developing a better understanding of the dimensions of programs. Two pages in length, addressing the following about programs that fall into different classifications. Based on what you viewed in the media piece:

Describe one potential program to address an identified need that would fall into one of the following program types:

Treatment for Cold & Fever

Question Description

 

Using the powerpoint already started finish the Cold remedies section of the powerpoint (grey slides).

Part 1) Using various sources look up first line treatment and second line treatment for the following conditions : Colds, Cough, Fever, Decongestants and antihistamines, anti-tussives (grey slides)

PUT IMPORTANT DRUG COUNSELING INFORMATION/Exclusion for treatment in each slide!!!

Part 2) After you finish the powerpoint, take the whole powerpoint, both the cold remidies and herbal supplements section and make a nice looking handout out of it.

use sources such as handbook of nonprescription drugs, drug facts and comparisons and pharmacist letter

Nonalcoholic Fatty Liver Disease and Obesity

IMPORTANT NOTE REGARDING WORD LIMIT REQUIREMENTS:

Please note that each and every assignment has its own word limit.

 

Obesity is the major risk factor for nonalcoholic fatty liver disease (NAFLD), whereas an excessive intake of alcohol is the main driver of alcoholic fatty liver disease (AFLD). However, not all obese individuals have NAFLD, and not all individuals who consume large amounts of alcohol develop AFLD. Also, far from all individuals with simple steatosis (the first stage of both NAFLD and AFLD) go on to develop steatohepatitis, cirrhosis, or end-stage liver disease. A large part of this inter-individual variation is due to genetic factors. Some individuals carry susceptibility-increasing genetic variants that make them more vulnerable to developing NAFLD, and to the progression of the disorder. Conversely, some lucky individuals carry genetic variants that protect their livers from the deleterious effects of obesity or alcohol intake. Twin studies indicate that 50% of the risk of fatty liver disease is genetically determined. This heritability estimate is comparable to those of other complex traits such as obesity, type 2 diabetes, or ischemic heart disease. Additional evidence in support of a strong genetic component to NAFLD is the fact that the disorder varies greatly in prevalence among different ethnic groups. Three common (minor allele frequency > 0.05) steatogenic genetic variants with robust and replicable effects have been identified so far: PNPLA3 I148M, TM6SF2 E167K, and GCKR P446L. Together these variants explain less than 10% of the variation in hepatic fat content or approximately 20% of the total heritable component of hepatic steatosis. Thus, the major fraction of genetic variation that contributes to the development of fatty liver disease remains unknown. With only three genome-wide association studies GWAS published so far (two of these based on the same cohort), the field of fatty liver GWAS is still in its infancy. Nonalcoholic fatty liver disease is a complex disease in which genetic variations and environmental factors interact to determine disease phenotype and progression. Progress in the understanding of the genetic risk of NAFLD might offer the unique opportunity to translate this information into clinical practice. However, only a minor fraction of the genetic risk for fatty liver disease has been discovered. Furthermore, the relative importance of genetic and environmental factors will vary between populations depending on background modifier genes, lifestyle choices/challenges, and other factors such as the intestinal microbiome (Stender, Grarup, Hansen, 2019)

The Genetic Determinants of Smoking

IMPORTANT NOTE REGARDING WORD LIMIT REQUIREMENTS:

Please note that each and every assignment has its own word limit.

 

 

The twin studies are an essential subject in understanding the link between nature/nurture or genetic/environment. Basically, the twin study demonstrates how many environmental factors affect an individual’s likely hood of developing a health condition vs genetics factors contributing to the development of health conditions. For example, through the observation of a set of monozygotic twins, we learned that the development of a certain health condition had an environmental factor of 80% and a genetic factor of 20%. This means, adjusting the environmental factor would reduce the efficiency of the disease attack ratio on the twins.

An example of using a twin study to examine the gene-environment interaction is smoking development in monozygotic twins. The method of study will be a case-parent approach study, which is a study that uses the parent as a control. The premises of the examination are a smoking-addict mother giving birth to a set of monozygotic twins. Due to the financial situation, one of the twins was given up for adoption. Over a course of 30 years, these twins were observed to see if gene or environment would contribute to the development of smoking. The methods used to collect data is a phenotypic measure by noting how many cigarettes per day were smoked and a genotype measure of analyzing the gene to see if the twins have a smoking allele received from the mother.

The data showed that through analysis of the gene, the twins had a smoking allele, therefore, the twins had a 30% risk of developing a smoking habit due to the mother’s gene influence. However, twin one who stayed with the mother had an environmental factor of 40%, such as dieting, high-stress levels, and alcohol (similar to the mother), which activated the expression of the smoking gene. Therefore, this individual had an overall 70% risk of smoking, which was due to gene-environment and this twin was smoking 3-4 packs a day between 20-30 years of age. Whereas, twin 2, because of the 30% gene factor and 0% environmental risk factor (not similar to the mother), this individual had an overall 30% risk of smoking, which they did not smoke. However, if twin 2 had environmental factors that affected the gene expression of smoking (similar to the mother), then there would be a higher risk factor of twin 2 smoking.

Strategic & Salary and Benefits Career

Preparing a Strategic Career Plan

Graduation and certification are the beginning of your career as an NP. Whether you are looking for that dream job or you have decided to open your own practice as an independent NP, you need a plan to get there. Before the Web and social media, job hunting was relatively simple. Job hunters perused the classifieds, made cold calls, and many times just showed up with a resume in hand. There has been a dramatic change in the last decade in how people find and get jobs, and NPs are no exception. For those seeking employment now, there is a wealth of resources available from mega employment websites to specialty blogs. Finding a job as an NP may not be a big challenge, but landing the position that you have passionately prepared for and pursued is going to take some work. A well-crafted cover letter and resume may be necessary items, but it may not be enough to get you exactly where you want to be. With so many opportunities and career trajectories available to NPs today, you need to focus and get serious about what you want to do and where you want to do it.

Directions

In this Assignment, you will develop your own strategic career plan for starting your new career as an NP. There are many steps that need to be accomplished. Use the following guidelines to design your career plan. You do not need to include references. This is a plan that you may layout how you wish. Be creative, and really think about what you desire as a nurse practitioner. As everyone will have different goals, there are no right or wrong answers in this plan.

Juvenile Delinquency Social Problems

Create a PowerPoint presentation to present all that you have learned about the social problem you selected:

  1. Describe the selected social problem in social context:
  2. What elements of society contribute to this problem, and how can it be alleviated?
  3. What has perpetuated the problem?
  4. Summarize actual solutions to your selected social problem you found in research and compare them to historical solutions.

The social problem i have selected is juvenile delinquency.