Health Care Information System

Discuss, in at least 200 words, how an health information system might be employed to correct existing problems in a health care facility or providers office and what are the cost, and productivity considerations. Reference papers and/or personal experiences. Discuss one aspect of patient data ( billing, ER, physician office, nursing home, rehabilitation, assisted living, etc)

Follow the rubric

Responsiveness to Discussion Topic

Is discussion topic addressed in depth

Communication of ideas

Are ideas communicated eloquently and thoroughly using examples and cited resources

Critical Thinking and Critical Analysis

Explores and expands the topics being discussed comments are based upon cited sources

Mental Health

Mental Health
Write a speech of 3 minutes or 1000 words, it is about the Australian Rock Band “The Sunny Boys” lead singer Jeremy Oxley. Using the mental health assessment tool “ISBAR” to form an assessment of his condition. please note that information is available on youtube, “The Sunny Boys” I have enclosed more details of the assignment below.

Disscussion

For this Discussion, you will post an explanation that defines the legal implications for standard of care, the key components of a malpractice policy in regard to a case study. Additionally you will explain the collaborative agreements and rules for your state in regard to your NP practice and the case study you select.

Case Study Three: Patient and professional relationships.
Jennifer, a 45 year old Caucasian returns to your clinic for a refill of her hydrocodone. She was diagnosed with Ovarian Cancer last year, followed by successful removal and treatment. All vital signs are stable and preventive care is up to date. She wants to discuss filing a lawsuit against the surgeon that initially turned her away and told her she had gastritis and needed to eat healthier.

Review the following articles found in this week’s Learning Resources:
Miller, K. P. (2013). The National Practitioner Data Bank: An Annual Update. The Journal for Nurse Practitioners, (9)9, 576-580.
Stelmach, E. I. (2015). Dismissal of the Noncompliant Patient: Is this What We Have Come to? The Journal for Nurse Practitioners, 11(7), 723-725.
Post an explanation that addresses the following for the Case study you selected:

Identify and briefly summarize the case study you selected
Explain any legal implications for standard of care related to the case study you selected
Identify and explain the key components of a malpractice policy related to the case study you selected
Explain the collaborative agreements and knowledge the rules for your state in regards to NP practice the case study you selected
Please answer all of the above questions in 250 words and 3 current resources( with in the last 5 years). APA format.

SPORTS PSYCHOLOGY

Young athletes’ mental toughness and psychology is integral in optimising their focus, interest and performance in sports (Jones, G., Hanton S., &Connaughton, D. 2002.). further, Jones, G., Hanton S., and Connaughton, D. suggest that athlete’s mental toughness can be identified by thirty attributes under four dimensions (attitude/mind-set, training, competition and post competition practices). To achieve this mental toughness, children’s coaching should aim at building their confidence and focus; defining and managing high expectations and beliefs that lead to stress, frustration and discouragement; managing distractions and training the young athletes how to quickly let go of losses, mistakes and setbacks (Hardy, Jones, & Gould, 1996; Mellalieu,

Hanton, & Fletcher,2006). Those responsible for assisting children at this stage should always try to promote commitment, and such commitment is related to motivational processes. In the light of this, parents in addition to professional coaches, primarily play a key rolein motivating and helping their children make informed decisions about which field of sporting activity to engage in. Conversely, it is often in this scenario that there arises conflict of interest between parent and their children in regard to field of sports preference.

ERP Simulation Game

650 WORDS OF THEORIES is a part of a report and is about ERP Simulation game.

what I need?

You have to require Some researches into simulation games as a learning tool for ERP system (Enterprise Resources Planning System) you also need to include

· What is ERP…. Software/games

· HOW IT HELPS IN LEARNING (important part focus on it )

· MAKE CONNECTION BETWEEN SIMULATION GAME AND LEARNING WITH good THEORIES (important part focus on it)

· REFERENCES 6-8 and have to be good references

· Citations in the text

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erpsimgame.docx

Healthcare Trends

Discussion 1: Healthcare Trends

Health care administrators must proactively plan for changes that alter the health care environment. Trends that affect health care delivery are varied and arise from many different sources, such as the emergence of new technologies, changing patient and workforce demographics, economic fluctuations, and policy developments. In this Discussion, you and your colleagues will investigate trends that are likely to play a pivotal role in the ongoing transformation of health care delivery.

Choose one of the following topics on which to focus for this Discussion:

· Prevention and wellness

· Aging population

· Consumerism

· Accountability and governance

· Transparency

· Cost containment

· Technology

· Collaboration

· Medical tourism

Review the information provided on the websites included in the Learning Resources, and conduct additional research using the Walden Library and credible websites to assess current trends related to your selected topic.

Post by Day 3 a substantive and cohesive response to the following:

· Analyze trends related to your selected topic, including insights you have gained from the literature.

General Guidance on Discussion Posts: Your original post, due by Day 3, will typically be 3–4 paragraphs in length (not including references) as a general expectation/estimate. Refer to the Week 7 Discussion 1 Rubric for grading elements and criteria. Your Instructor will use the rubric to assess your work.

Required Resources

Readings

· Shi, L., & Singh, D. (2015). Delivering health care in America: A systems approach (6th ed.). Burlington, MA: Jones & Bartlett.

o Review Chapter 13, “Health Policy” (pp. 510–531)

o Review Chapter 14, “The Future of Health Services Delivery” (pp. 538–564)

· Buescher, B., & Viguerie, P. (2014). How US healthcare companies can thrive amid disruption. Retrieved from http://www.mckinsey.com/insights/health_systems_and_services/how_us_healthcare_companies_can_thrive_amid_disruption

Use the following resources to examine health care issues/trends for the Discussions this week:

· American College of Healthcare Executives. (n.d.). Retrieved March 27, 2015, from http://www.ache.org

· American Hospital Association. (n.d.). Retrieved March 27, 2015, from http://www.aha.org

· California Healthcare Foundation. (n.d.). Retrieved March 27, 2015, from http://www.chcf.org

· The Henry J. Kaiser Family Foundation. (n.d.). Retrieved March 27, 2015, from http://www.kff.org

· Medical Group Management Association. (n.d.). Retrieved March 27, 2015, from http://www.mgma.com

· National Institutes of Health. (n.d.). Health information. Retrieved March 27, 2015, from http://health.nih.gov/

· National Institute of Mental Health. (n.d.). Retrieved March 27, 2015, from http://www.nimh.nih.gov/index.shtml

Urgent Essay Help-Discuss the importance of the balance of payments as an accounting measure.

Urgent Essay Help-Discuss the importance of the balance of payments as an accounting measure.
One of the more important measures in regard to international economics is the balance of payments. Think of it as a national accounting measure that looks at the flow of goods and services into and out of an economy in a given period of time. It also shows capital flows into and out of a country. Until 1980, the United States tended to run a positive-to-neutral balance of payments position and was a creditor nation. In the course of the past 30 years, the United States has moved to a negative balance of payments and to being a debtor nation.

Discuss the importance of the balance of payments as an accounting measure.
Discuss the current account and its components and the capital and financial accounts and their components.
How important is the U.S. deficit in traded goods in regard to the balance of payments?

Consumer And Shareholder Protection”

“Consumer and Shareholder Protection”
The FDA’s role in the approval and subsequent review of Vioxx, a pain medication with- drawn from the market by its manufacturer after it was associated with heart attacks and strokes, is discussed in a case at the end of this textbook.

In 2010, Congress established, as part of the Dodd-Frank Act (also discussed in Chapters 8 and 14), a new consumer regulatory body, called the Consumer Financial Pro- tection Bureau. The purposes and actions of this agency are described in Exhibit 15.B. The debate over whether government should become involved in protecting consumer privacy is discussed in the next section of this chapter.

All seven government regulatory agencies shown in Figure 15.2 are authorized by law to intervene directly into the very center of free market activities, if that is considered nec- essary to protect consumers. In other words, consumer protection laws and agencies substi- tute government-mandated standards and the decisions of government officials for decision making by private buyers and sellers.

Consumer Privacy in the Digital Age

In the early 21st century, rapidly evolving information technologies have given new ur- gency to the broad issue of consumer privacy. Shoppers have always been concerned that information they reveal in the course of a sales transaction—for example, their credit card or driver’s license numbers—might be misused. But in recent years, fast-changing tech- nologies have increasingly enabled businesses to collect, buy, sell, and use vast amounts of personal data about their customers and potential customers. The danger is not only that this information might rarely be used fraudulently, but also that its collection represents a violation of privacy and might lead to unanticipated harms.

Individuals are often unaware of how much information about themselves they reveal to others as they shop, interact with friends, play games, or look for information online. A variety of technologies make this possible. Many websites place cookies—or more power- ful Flash cookies—on a computer hard drive, to identify the user during each subsequent visit and to build profiles of their behavior over time. Web beacons embedded in e-mails and websites retrieve information about the viewer. In deep packet inspection, third parties access and analyze digital packets of information sent over the Internet, such as pieces of e-mails or Skype calls, to infer characteristics of the sender. Not just retailers, but also Internet service providers such as Comcast, search engine operators such as Google, and informational services such as Dictionary.com, also track their users. So-called data aggregators purchase and combine data about individuals collected from various sources and compile them into highly detailed portraits to be sold to retailers, service providers, and advertisers.15

An example of a data aggregator is Acxiom Corporation, based in Conway, Arkansas. Acxiom, called the “quiet giant” of the industry, has built the largest consumer database in the world, with an average of 1,500 data points on each of 500 million people. It not only collects information from multiple sources, but also analyzes it, placing individuals into categories such as “savvy singles,” “flush families,” and “downtown dwellers.” Acxiom’s customers include 47 of the Fortune 100 and such well-known companies as Wells Fargo, Toyota, and Macy’s, which pay for “360-degree views” of customers and prospective customers.16

“It’s a digital vacuum cleaner,” said the executive director of the Center for Digital Democracy, speaking of the data aggregation industry. “They’re tracking where your mouse is on the page, what you put in your shopping cart, and what you don’t buy. A very sophisticated commercial surveillance system has been put in place.”17

The main reason for all this tracking is to tailor commercial messages to individuals. The term behavioral advertising refers to advertising that is targeted to particular custom- ers, based on their observed online behavior. For example, a shopper might view a dress while browsing online for an outfit for an upcoming event, and then later when checking a news site might see an advertisement for the same dress pop up on her screen. According to AudienceScience, a digital marketing technology company, behavioral advertising was used by 85 percent of ad agencies in 2011, and these agencies planned to increase their spending on it significantly going forward. The reason most often cited by survey respondents was that targeted ads were simply “more effective.”18

Advertisements tailored to a user’s interests and preferences have many advantages for both buyer and seller. The buyer is more likely to receive messages that are relevant, and the seller is more likely to reach prospective customers. For example, Amazon tracks its customers’ preferences, so on subsequent visits to the website it can recommend books, electronics, and other products that a person might like—a potential benefit to shoppers.

But the vast collection of information that makes behavioral advertising possible also car- ries risks. For example, in a practice called weblining, individuals may be denied opportu- nities, such as credit, based on their online profiles. Some people are simply worried that information collected for the purpose of advertising might fall into the wrong hands, with- out their knowledge or consent. Consumer Reports found in a 2012 survey that 71 percent of respondents were “very concerned” about companies sharing information about them without their permission.19

The dilemma of how best to protect consumer privacy in the digital age, while still fos- tering legitimate commerce, has generated a wide-ranging debate. Three major solutions have been proposed: consumer self-help, industry self-regulation, and privacy legislation.

• Consumer self-help. In this view, the best solution is for users to employ technologies that enable them to protect their own privacy. For example, special software can help manage cookies, encryption can protect e-mail messages, and surfing through interme- diary sites can provide user anonymity. Individuals can learn about and use privacy settings on websites they access. Specialized services, such as one called Privacy- Choice, score various sites on how they handle personal data, offering consumers tools for choosing which to do business with. “We have to develop mechanisms that allow consumers to control information about themselves,” commented a representative of the Center for Democracy and Technology, a civil liberties group.20 Critics of this approach argue that many unsophisticated web surfers are unaware of these mechanisms, or even of the need for them. A recent survey of Facebook users, for example, estimated that 28 percent of them shared all or almost all of their “wall” posts with the general public— not just their “friends.”21

• Industry self-regulation. Many Internet-related businesses have argued that they should be allowed to regulate themselves. In their view, the best approach would be for compa- nies to adopt voluntary policies for protecting the privacy of individuals’ information disclosed during electronic transactions. For example, the Digital Advertising Alliance, a marketing trade group, developed an icon—a turquoise triangle placed in the upper right-hand corner of some online ads—that users could click to shield their behavior from tracking.22 One advantage of the self-regulation approach is that companies, pre- sumably sophisticated about their own technology, might do the best job of defining technical standards. Critics of this approach feel, however, that industry rules would inevitably be too weak. After all, companies often made money from selling personal information to advertisers, giving them a disincentive to protect it.

• Privacy legislation. Some favor new government regulations protecting consumer pri- vacy online. In 2012, the Federal Trade Commission issued a comprehensive report on protecting consumer privacy. The commission recommended that businesses adopt a number of best practices, including greater disclosure of how they collected and used consumers’ information, simple “opt out” tools, improved security, and time limits on the retention of data. The FTC also recommended that Congress consider enacting new

legislation addressing these issues.23 Consumer privacy protections are generally stronger in the European Union than in the United States. Under European data protec- tion laws, people must be notified when information is collected about them and be given a chance to review and correct it if necessary. An Austrian law student recently used these rules to force Facebook to give him thousands of pages of data about him it had collected, and then used this information to press the company publicly for stronger privacy protections.24

Any approach to online privacy would face the challenge of how best to balance the legitimate interests of consumers—to protect their privacy—and of business—to deliver increasingly customized products and services in the digital age. The issue of online pri- vacy is also explored in the discussion case that appears in Chapter 12.

Special Issue: Product Liability

Who is at fault when a consumer is harmed by a product or service? This is a complex legal and ethical issue. The term product liability refers to the legal responsibility of a firm for injuries caused by something it made or sold. Under laws in the United States and some other countries, consumers have the right to sue and to collect damages if harmed by an unsafe product. Consumer advocates and trial attorneys have generally supported these legal protections, saying they are necessary both to compensate injured victims and to de- ter irresponsible behavior by companies in the first place. Some in the business commu- nity, by contrast, have argued that courts and juries have unfairly favored plaintiffs, and they have called for reforms of product liability laws. This section describes this debate and recent changes in relevant U.S. law. The special issue of whether or not food compa- nies and restaurants should be held liable for obesity is profiled in the discussion case at the end of this chapter.

Strict Liability

In the United States, the legal system has generally looked favorably on consumer claims. Under the doctrine of strict liability, courts have held that manufacturers are responsible for injuries resulting from use of their products, whether or not the manufacturers were negligent or breached a warranty. That is, they may be found to be liable, whether or not they knowingly did anything wrong. Consumers can also prevail in court even if they were partly at fault for their injuries. The following well-publicized case illustrates the extent to which businesses can be held responsible under this strict standard.

Essay

In each case, answer the questions at the end of the case and give researched references to support your assertions; also, explain what would be the ethical course of action and the legal requirements for action in the case.

 

Case One

 

Mrs. Lewis was head nurse on a medical surgical floor in a community hospital with 250 beds. Over the course of 6 months, she noticed that all patients admitted from the Shady Rest Nursing Home had signs of severe injuries other than those connected with the admitting diagnosis. There appeared to be patient abuse in the nursing home. Mrs. Lewis investigated discreetly and found no explanation possible except abuse. In accord with the obligations of the law in her state, she reported the matter to the Department of Welfare Bureau of Inspection.

 

The Welfare Department investigated immediately, found proof of abuse, and threatened to close down Shady Rest if there were any more recurrences. Mrs. Lewis was overjoyed until her hospital administrator, bypassing the director of nursing, called her in and warned her that she would be fired if she reported any other instances of abuse. Shady Rest sent the hospital a lot of business, and good relations had to be maintained.

 

Mrs. Lewis was even more shocked when she discovered that the administrator was a golf partner of the owner of Shady Rest and was doing an old buddy a favor. Despite fears of retaliation, Mrs. Lewis consulted a lawyer, who threatened the hospital with exposure and with penalties that would follow if one of its employees failed to follow the reporting provisions of the law on abuse in nursing homes.

 

Did Mrs. Lewis act correctly? What should she have done if she could not have afforded to consult with a lawyer? In what ways can whistle-blowers protect themselves? Must the art of intimidation be part of the toolbox of healthcare professionals in order to protect their patients? Is power an appropriate consideration in healthcare ethics?

 

Case Two

 

On a July weekend, Mrs. Allesfertig, nursing supervisor of the whole hospital, discovered that the intensive care unit was seriously understaffed. She pulled two nurses with previous ICU experience off other floors to bring the unit up to strength in view of the extreme level of acute care needed. On the following Monday, Dr. Bestknabe, who has overall responsibility for the ICU unit, closed the unit for further admissions until the staffing had been worked out on a permanent basis.

Should the new staffing policy give the nurses authority to refuse to admit patients when the staff is not sufficient to handle them? (In some hospitals, nurses have this authority.) Can any policy take precedence over the professional judgment of trained ICU nurses?

A Practical Introduction to practice reading and evaluating the information it presents.

Assignment Steps

Resources: Management: A Practical Introduction; Bureau of Labor statistics; annual reports of selected organizations.

You may use the same organization you used in previous weeks.

Review the four perspectives of the Balanced Scorecard Module in Section 16.3 of Management: A Practical Introduction to practice reading and evaluating the information it presents.

Use the four perspectives of the Balanced Scorecard and your company documents.

Determine the possible metrics for each quadrant for your organization.

Explore the website for an organization comparable to yours.

Determine the possible metrics for each quadrant for the organization.

Explore the website for an organization not comparable to yours.

Determine the possible metrics for each quadrant for the organization.

Compare metrics for both organizations versus the metrics for your organization.

Complete a 700-word summary including the following:

Identify the metrics for your organization.
Identify the metrics for the comparable organization.
Identify the metrics for the non-comparable organization.
Summarize how the metrics differ.
Identify potential performance gaps in your organization.
Recommend actions to reduce the performance gaps.
Format the assignment consistent with APA guidelines