NR341 Complex Adult Health

RUA Interdisciplinary Management of Healthcare Technology Guidelines

Purpose

This purpose of this assignment is for the student to present a complete picture of interdisciplinary care using specific therapeutic modalities in the care of a complex adult health client. The student will demonstrate clinical reasoning skills and will discuss interdisciplinary care that had been incorporated and/or anticipated using a healthcare technology or therapeutic modality for the care of the complex health client.

Course outcomes: This assignment enables the student to meet the following course outcomes:

1. Provide patient and family centered nursing care to adults with complex health needs using theories and principles of nursing and related disciplines. (PO 1)

2. Initiate the use of appropriate resources in direct care responsibilities within complex adult health situations. (PO 2)

3. Demonstrate effective therapeutic communication and relationship skills in family centered nursing care to adults with complex health needs. (PO 3)

4. Demonstrate effective clinical decision making based on critical thinking skills and legal, ethical, and professional standards and principles when caring for patients and families with complex adult health needs. (POs 4 and 6)

5. Implement a plan of care for continued personal, professional, and educational development related to nursing practice with complex adult health situations. (PO 5)

7. Use evidence including research findings from nursing and related disciplines to answer clinical questions related to nursing care of patients with complex adult health needs. (PO 8)

Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

Total points possible: 100 points

Preparing the assignment

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

1) Choose a therapeutic modality or healthcare technology.

2) Examples of a therapeutic modality include Extracorporeal Membrane Oxygenation, Automatic rotating pronation beds, right and/or left ventricular assist devices, nontraditional ventilator modes.

3) Examples of healthcare technology can include regional O2 saturation monitoring (NIRS).

4) Refer to your faculty member if your selection requires prior approval.

5) Write a 4-5 page paper (not including the title page or reference page) using APA format.

6) For APA, formatting, or grammar assistance visit the APA Citation and Writing page in the online library.

7) Include the following sections (detailed criteria listed below and in the Grading Rubric):

a. Introduction – 5 points/5%

· The chosen therapeutic modality or healthcare technology meets one of the following criteria:

· Has been introduced recently at the bedside for care of the complex adult patient.

· Is a non-traditional modality for very ill patients in special circumstances.

· Is being used in a new way to treat a patient with complex needs.

· Requires specific training above and beyond general entry-level nursing education.

· Introduce the therapeutic modality or healthcare technology.

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NR341 Complex Adult Health

RUA Interdisciplinary Management of Healthcare Technology Guidelines

· Name the therapeutic modality or healthcare technology.

· A brief fictional case is used to illustrate the therapeutic modality or healthcare technology.

b. Explanation and Background– 15 points/15%

· Include a clear description of the therapeutic modality or healthcare technology.

· Discuss how the therapeutic modality or healthcare technology works.

· Describe the patient population it is used for.

· Include medication, safety, and cost considerations as applicable.

c. Risks and Benefits– 15 points/15%

· Describe how the therapeutic modality or healthcare technology can benefit the patient.

· Discuss ways to promote positive outcomes.

· Explain the complications that may arise.

· Discuss considerations for preventing complications.

d. Interdisciplinary team’s Roles and Responsibilities– 20 points/20%

· Identify all interdisciplinary team members caring for the patient, such as respiratory therapy, assistive personnel, providers, case managers, clinical nurse specialists, and researchers.

· Describe the roles and responsibilities of each member of the healthcare team that is involved in the use of the therapeutic modality or healthcare technology.

· Discuss the roles and responsibilities of the nurse as a member of the interdisciplinary team caring for the patient.

e. Nursing Scope of Practice – 15 points/15%

· Discuss the knowledge needed for the Registered Nurse to provide care for the patient using the therapeutic modality or healthcare technology.

· Describe skills needed for the Registered Nurse to provide care for the patient using therapeutic modality or healthcare technology.

· Discuss attitudes needed for the Registered Nurse to provide care for the patient using therapeutic modality or healthcare technology.

f. Patient Education – 20 points/20%

· Describe the information to be taught to the patient and/or family.

· Discuss how information will be taught.

· Explain how the effectiveness of the teaching will be evaluated.

g. Conclusion – 5 points/5%

· Provide a summary of the paper.

· No new information is introduced.

· Include additional resources for further learning.

h. APA Style and Organization – 5 points/5%

· References are submitted with paper.

· Uses current APA format and is free of errors.

· Grammar and mechanics are free of errors.

· At least three (3), nursing, scholarly, peer reviewed, primary sources from the last 5 years, excluding the textbook, are provided.

Please note that your instructor may provide you with additional assessments in any form to determine that you fully understand the concepts learned.

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Grading Rubric

Criteria are met when the student’s application of knowledge within the paper demonstrates achievement of the outcomes for this assignment.

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Stevens District Hospital Strategic-Planning Scenario

HCS/499 v5

Page 2 of 2

Stevens District Hospital Strategic-Planning Scenario

Background

Stevens District Hospital is a 162-bed acute care hospital that is qualified as a not-for-profit facility. The hospital was originally a county-owned facility, and its status was transferred to an independent facility three years ago. The hospital receives no external funding from government agencies for operations. The hospital is accredited by The Joint Commission and received reaccreditation during their triannual survey last year. The hospital has an aggressive quality-management program and a low volume of medical malpractice claims. The hospital is in Jefferson City, which is a city of 50,000 people with 80,000 in the regional market. The hospital provides a general range of acute care services, including medical/surgical, rehab, and emergency care.

Current Performance Analysis

Current Mission and Vision Statements

Our mission: To improve health by providing high-quality care, a comprehensive range of services, and exceptional service.

Our vision: Stevens District Hospital and its affiliates will be the health care provider of choice for physicians and patients. Our five-year vision is to create a large, multispecialty physician practice system that would include at least six family practice physicians and specialists in cardiology, oncology, and women’s services. Currently, the hospital employs three family-practice physicians, one obstetrician, one medical oncologist, and one non-invasive cardiologist.

Previous Strategic Plan Review

Goals and Progress Table

Market Forces Affecting the Hospital

Volumes

Volume Changes Last Year Versus This Year

Patients

The continued growth of chronic disease will require changes to the care-management model.

Percent of Population by Age Table

More than 53% of residents have at least some college education, with just over 29% having an associate’s, bachelor’s, or graduate degree. More than 90% of residents have at least a high school diploma. The average unemployment rate in the county is 9.9%:

Market Share Distribution Percentage Comparison Table

Figure 1: Patient Origin by Zip Code

Figure 1: In the Patient Origin by Zip Code pie chart, 96101 is Stevens District Hospital zip code and 94963 is major competitor hospital zip code. 52% are from 96101, 20% are from 94963, 16% are from 92106, and 12% are from 93921.

Increases in the percent of population with chronic disease and contributing factors will change significantly over the coming five years.

Chronic Disease Predictions

Payment

There will be continued focus on pay for performance and increased wellness programs. The Affordable Care Act (ACA) is leading to more people being covered; however, there are often high deductibles.

The median household income for county residents is $59,548. On average, households in the county earn more than the state median household income of $44,446 and more than the national average of $53,650. The addition of a new automotive manufacturing plant to the local market next year is projected to add 1,500 production line jobs and 300 administrative jobs by year end. Median income for the production positions is estimated at $45,000 and will provide health, vision, and dental insurance benefits.

Percentage of Population by Insurance

Figure 2: Current Payer Mix

Figure 2: The Current Payer Mix pie chart shows that 35% are covered by Medicaid, 30% are covered by Medicare, 24% are covered by commercial insurance, 9% are uninsured, and 2% are noted as “other.”

Figure 3: Projected Payer Mix in 5 Years

Figure 3: The Projected Payer Mix in 5 Years pie chart shows that 38% are covered by Medicare, 24% are covered by Medicaid, 32% are covered by commercial insurance, 4% are uninsured, and 2% are noted as “other.”

As part of your review of this data, consider the following factors:

· A portion of the population will become Medicare eligible.

· The addition of manufacturing positions that include benefits will increase commercial insurance coverage.

· Changes from the ACA will increase the number of patients in the market with insurance coverage.

Employers

There is expected growth in large employers with the addition of the automotive factory in the northwest sector of the county.

Physicians

The continued shortage of medical staff, especially in orthopedics, oncology, and primary care, will require increased recruitment efforts.

Competitors

Hanover County Hospital, which is the other hospital in the county, has an updated facility that has drawn more market share to its facility.

Competitor Analysis Table

Technology

A competing hospital has added e-visits for physician practices, which is causing a shift of patients to the competitor hospital’s physician practices.

Regulatory Changes

Health care reform through the ACA has increased the number of patients with some form of insurance payment. These patients are now seeking care from a primary care physician in greater numbers. Stevens District Hospital struggles with accommodating patient scheduling requests to establish care with a primary care physician.

Planning Components Explanation

Planning Components Explanation Table

Financial Summary

Financial Summary Table

Last Year

Admission ER Visits Deliveries Surgeries 4458 20930 405 6365 This Year

Admission ER Visits Deliveries Surgeries 5147 26292 472 7284

US Age Distribution 2010

96101 94963 92106 93921 0.52 0.2 0.16 0.12

5 Years Ago Obesity Diabetes Heart Disease 0.15 0.05 0.12 5 Years Ahead Obesity Diabetes Heart Disease 0.26 0.12 0.22

US Age Distribution 2010

Medicaid Medicare Commercial Uninsured Other 0.35 0.3 0.24 0.09 0.02

US Age Distribution 2010

Medicare Medicaid Commercial Uninsured Other 0.38 0.24 0.32 0.04 0.02

Copyright 2022 by University of Phoenix. All rights reserved.

Copyright 2022 by University of Phoenix. All rights reserved.

As a manager and leader, you must be able to evaluate management and adaptable leadership skills in the health care industry. Important leadership skills are strategic planning and business development. Before you can develop a strategic plan that drives the goals and helps to define what success looks like for you organization, you must have a clear vision and mission. For this assignment, you will demonstrate your skill by evaluating the importance of a mission statement and vision statement for the strategic plan within a health care organization.

Assignment Preparation
Review the Stevens District Hospital Strategic-Planning Scenario about a fictional, not-for-profit acute care hospital in Jefferson City. The hospital provides a range of services, including medical/surgical, rehab, and emergency care in a regional market of 80,000 people. This assignment and future course assignments will use the hospital and scenario information.

Imagine the following: Your role in this planning process will be as the director of the radiology department at Stevens District Hospital. Your department performs a wide variety of X-ray procedures, nuclear medicine, ultrasound, and MRI testing. In this planning process, you will evaluate the strengths, weaknesses, opportunities, and threats (SWOT) to the hospital and the role your department can play in increasing business for the hospital.

Review the following mission and vision statements:

• Option 1: Mission: To improve health by providing high-quality care. Vision: Provide the highest level of service in the county.
• Option 2: Mission: To improve health by providing high-quality care. Vision: Provide the broadest range of services in the county.
• Option 3: Mission: To be deeply committed to the communities we serve; we enhance population health and well-being. Vision: Deliver an exceptional experience with every encounter.
• Select the most appropriate mission and vision statement for the hospital from the previous list and use the statements for this assignment.

  Assignment Directions
  Write a 700- to 1,050-word summary in which you:

• Identify the mission and vision statements you selected for Stevens District Hospital.
• Explain the rationale for why you selected the mission and vision statements.
• Identify the specific strengths of the mission and vision statement selected.
• Identify the weaknesses of the mission and vision statements not selected.
• Explain how the mission and vision statements drive the strategic plan for Stevens District Hospital.
• Cite 2 peer-reviewed, scholarly, or similar references to support your summary.

SDLC Process – 3 to 4 pages

Imagine that you are a departmental manager in a large healthcare organization’s information technology (IT) department. The chief information officer (CIO) has asked you to initiate a change from the traditional waterfall project structure to an agile approach. Complete the following for this assignment:

· Research different agile methodologies, and identify 1 approach that you will suggest to the CIO.

· Explain why this method would be beneficial to the IT organization.

· Identify challenges that are specific to the health care industry that will need to be addressed during the transition to an agile project format.

· Identify the 5 greatest challenges that you will need to mitigate for the transition.

· Explain a sample implementation plan to transition the organization from waterfall to the identified agile approach.

Note: Use APA style to cite at least 2 scholarly sources from the last 5 years.

3 to 4 pages

1. Within the Discussion Board area, write 600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

In the world today, people have access to so much data. In health care, that data can be critical to enhance the treatment of patients or preventing diseases. Health informatics helps organize the management of health information. The use of technology like an electronic health record (EHR) and other systems can be used to manage and secure patient data.

In what scenarios would you see health informatics being used? Review your experience with informatics. If you do not have experience with informatics, then interview someone who has. How do you see technology and informatics working together in the future?

Note: Use APA style and 4 scholarly references within 5 years.

2. Within the Discussion Board area, write 600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

Standardization can help promote quality patient care and reduce costs for hospitals. There are many areas containing different people, practices, and theories, and it is impossible for standardization to be held to a single definition.

• What are the benefits and barriers of standardization? Do the benefits outweigh the barriers?
• How does standardized terminology play a role in data integration and interoperability? How can interoperability change health care?

Note: Use APA style and 4 scholarly references within 5 years.

3. Within the Discussion Board area, write 600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

Information security is designed to protect personal information. Information security focuses on processing, transmitting, or storing sensitive information in a secure manner. Information security has become more relevant for multiple organizations and individuals, as digital data is more prevalent. Protecting your data should be a priority for everyone to prevent a breach in the digital age.

Read the following case study:

• Public CIO. (2015). Security will get harder — and even more important. Public CIO Special      Report. Public CIO, 13(4), SR18-SR21.

Explain why information security is more important today than it was in the past. What measures are taken to secure data and prevent breaches?

Note: Use APA style and 4 scholarly references within 5 years.

4. Within the Discussion Board area, write 600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

Studies have shown that CDSSes reduce medication errors, increase physician and patient satisfaction, decrease cost, and even decrease the rate of hospital-acquired (nosocomial) infections. However, recent studies have shown that widespread use of CDSSes is limited.

Discuss the following:

• What kind of items should be taken into consideration prior to implementing a CDSS?
• How would you measure the success of the implementation?

Note: Use APA style and 4 scholarly references within 5 years.