Assignment 10: Strategic Fit Outline

/in /by

Assignment 10: Strategic Fit Outline

Ebonee Jarrell

April 11, 2021

 

1. Organizational Information

Johns Hopkins Hospital is a world-renowned facility that is ranked among the top three adult hospitals in the United States and number one in Maryland. Johns Hopkins Medicine has established a mission that focuses on improving the health of residents of Baltimore and surrounding communities. They are committed to setting a worldwide standard of excellence in research, clinical care, and medical education (Behr, 2020).

Johns Hopkins Hospital has established initiatives to enhance the care and treatment needs of the community it serves. By establishing 300 programs, they identified high priority issues to include asthma, cancer, diabetes, obesity, mental health, substance abuse, and more (Behr, 2020). Many of the initiatives are directed to assist the local communities of Baltimore. However, Johns Hopkins has expanded their markets to areas in the Washington, DC metro area. These facilities include Sibley Memorial Hospital in Washington DC, Suburban Hospital in Montgomery County, MD and Johns Hopkins All Children’s Hospital in St. Petersburg, Florida to name a few. These expansions further enable the organization to expound on the initiatives to enhance the treatments in the surrounding communities.

 

2. Corporate Mission

While Johns Hopkins Medicine facilities maintain their own healthcare objectives for the communities they serve, they all share the same mission, vision and core values. This approach allows them to push out and provide a standardized innovation plan to all of their facilities. “Innovation 2023 is Johns Hopkins Medicine’s Strategic Plan for fiscal years 2019 through 2023” (Q, 2018). This strategic plan establishes priorities, guides business tactics and resolutions, and furthers their legacy of innovation and distinction in patient care, research and education.

As outlined in their mission, vision, core values, and Innovation 2023 Strategic Plan, Johns Hopkins Medicine is committed maintain the reputation of high quality, elite care that they have established over the years. They have expanded their facilities to produce the services and capabilities to meet the needs of the surrounding community.

3. Research and competitive analysis

The strategic plan is broken into six pillars. Three of the pillars in the strategic plan seem to focus on the patient. The first one is “Make Johns Hopkins Medicine Easy” which targets enriching the patient experience by bettering access to care, communication and transitional care. The second pillar called “Support the Well-Being of Our People and Our Communities” is designed to grow the local community engagement and foster a culture within the organization that supports diversity and inclusion. The last patient focused strategy is “Improve the Quality and Affordability of Health Care.” This strategy is intended to maximize the value for all patients by having a concentrated focus on safety, quality, and efficiency while striving for continuous improvements of performance (Q, 2018).

The final three strategies focus on furthering the organization as a whole. “Work Like One Organization” builds upon their leadership by working to become the standard in the integrated health care delivery system. Another plan is “Push the Boundaries of Science and Education” which enriches the atmosphere for learning through continued innovation and investing in fundamental science to develop new ways to teach, train, and deliver clinical care. Lastly, and most fitting, is “Aim for Precision in Everything We Do.” This final strategic plan uses data in innovative techniques to direct decisions in all aspects of the organization to include finances, administration, education as well patient care (Q, 2018).

 

4. Broad analysis

a. 5-forces

The government policies regarding the levels of hospitals and the required services that they are expected to provide, regardless of whether they are profitable or not to the hospital ensures that for Johns Hopkins Medical to maintain its level and continue to function as a major healthcare facility, it has to maintain some services and evaluate the available resources that may enable it open new branches or wings.

With the emergence of numerous other healthcare options and providers, Johns Hopkins has to spend capital on advertisement and marketing, to ensure that it remains the leading healthcare provider, not only to its immediate vicinity but to the potential clients as well. The patients give Johns Hopkins Medical its goals and drive. This means that the organization has to spend a considerable amount of money to maintain legal matters, try to win lawsuits, and pay settlements where required.

b. SWOT-EFE

The SWOT-EFE provides an analysis of the external contexts of the selected organization, providing a view into the external circumstances that could lead to the development or collapse of the organization (Gürel & Tat,2017). The Johns Hopkins medicine is an institution that aims to provide high-quality healthcare to its patients and community. The threats and opportunities cover the external portion of the SWOT analysis.

 

5. Financial statement

McKinsey’s 7-S Framework are (1) style which is the kind of leadership the organization uses to achieve their goals (2) skills which refer to the actual skills and competencies of the organization’s employees; (3) systems which refers to the daily activities and procedure that staff use to get the job done and the goals are met; (4) structure which is how the company is organized, how departments are structures; (5) staff which refers to the employees and their general capabilities; (6) strategy which is the organization’s plan for building and maintain a competitive advantage over its competitors;; and (7) shared values which is the core values of the organization where every S is anchored. This is the corporate culture and general work ethics.

BCG Matrix on the other hand is a business method which based its theory on the life cycle of products. It is known as the Boston Box or Grid or Charts that are divided into four types of scenarios, Stars, Cash Cows, Dogs and Question Marks. The Stars is the scenario where there is the optimum situation of high growth and high share, this method requires an increased investment due to the continuous growth; the Cash Cow cycle deals with low growth and high share. This scenario requires a low investment, but the growth is very slow; the Dogs method is the situation where the growth is low and the market share is low, this is one of the worst situations. In this situation if the products are not delivering the cash then it is best to liquidate; and the Question mark means high market growth but low shares. In this situation there is a high demand but low returns. It is best to try and increase market share or get it to deliver cash.

 

 

 

6. Generic Strategies

a. TOWs

TOWS is a widely used tool emergent from the SWOT analysis framework that enables an analysis of strategy development by matching the Threats of the organization to the Weaknesses, and the Strengths to the Opportunities. This provides a variety of recommendations for efficient development through the risks in the contexts (Weihrich,1982).

7. Strategic Fit Results

The institution can offer better coverage for the disadvantaged patients admitted to the

facility in order to avoid any lawsuits that can arise from this tangent. The institution can invest in research concerning the dreaded diseases and remedies to enable it to be able to stand up to its competitors who offer comparatively better care for those afflicted.

Johns Hopkins Medical can also offer the specialization courses in the university and

employ trained personnel to offer the surgeries and medical procedures, leading it to provide at par or better healthcare than its competition. The institution can provide racial diversity directives and policies to evade tags and legislative directives that may adversely affect the institution.

 

 

 

 

References

Behr, Z. (2020, December 17).  Mission, Vision and Values | Johns Hopkins Medicine. Johns Hopkins Medicine. https://www.hopkinsmedicine.org/about/mission.html

 

Bruijl, G. H. T. (2018). The relevance of Porter’s five forces in today’s innovative and changing

business environment. Available at SSRN 3192207.

 

Dandage, R. V., Mantha, S. S., & Rane, S. B. (2019). Strategy development using TOWS matrix

for international project risk management based on prioritization of risk categories, International Journal of Managing Projects in Business.

 

Gürel, E., & Tat, M. (2017). SWOT analysis: a theoretical review. Journal of International Social Research, 10(51).

 

Navarro, E. C., Mina, J. C., & Campos Jr R. B. (2020). Strategy Development of Information

Technology- Related Services Using TOWS Matrix Analysis: A Case of Neust San Isidro

Campus.

 

Oneren, M., Arar, T., &Yurdakul, G. (2017). Developing competitive strategies based on SWOT

analysis in Porter’s five forces model by DANP. Journal Of Business Research-Turk,

9(2), 511-528.

 

Pronovost, P. J., Mathews, S. C., Chute, C. G., & Rosen, A. (2017). Creating a purpose‐driven learning and improving health system: The Johns Hopkins Medicine quality and safety experience. Learning Health Systems, 1(1), e10018.

 

Q, A. (2018, December 12). John Hopkins Medicine Strategic Plan Innovation 2023. John Hopkins Medicine. https://www.hopkinsmedicine.org/strategic-plan/

 

Saltman, R. B., & Chanturidze, T. (2020). Why Is Reform of Hospitals So Difficult? In Understanding Hospitals in Changing Health Systems (pp. 167-192). Palgrave Macmillan, Cham.

 

Varelas, S., & Georgopoulos, N. (2017). Porter’s competitive forces in the modern globalized

hospitality sector- the case of a Greek tourism destination. J Tour Res, 18, 121-131

 

Weihrich, H. (1982). The TOWS matrix- A tool for situational analysis. Long range planning,

15(2)’ 54-66.

 

Order a Similar Paper

/in /by

Assessment 3 Instructions: Interdisciplinary Plan Proposal

For this assessment you will create a 2-4 page plan proposal for an interprofessional team to collaborate and work toward driving improvements in the organizational issue you identified in the second assessment.
The health care industry is always striving to improve patient outcomes and attain organizational goals. Nurses can play a critical role in achieving these goals; one way to encourage nurse participation in larger organizational efforts is to create a culture of ownership and shared responsibility (Berkow et al., 2012). Participation in interdisciplinary teams can also offer nurses opportunities to share their expertise and leadership skills, fostering a sense of ownership and collegiality.
You are encouraged to complete the Budgeting for Nurses activity before you develop the plan proposal. The activity consists of seven questions that will allow you the opportunity to check your knowledge of budgeting basics and as well as the value of financial resource management. The information gained from completing this formative will promote success with the Interdisciplinary Plan Proposal. Completing this activity also demonstrates your engagement in the course, requires just a few minutes of your time, and is not graded.
Demonstration of Proficiency

  • Competency 1: Explain strategies for managing human and financial resources to promote organizational health.
    • Explain organizational resources, including a financial budget, needed for the plan to be a success and the impacts on those resources if nothing is done, related to the improvements sought by the plan.
  • Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
    • Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific objective related to improving patient or organizational outcomes.
    • Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan’s objective. Include best practices of interdisciplinary collaboration from the literature.
  • Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
    • Explain a change theory and a leadership strategy, supported by relevant evidence, that are most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.
  • Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
    • Communicate the interdisciplinary plan with writing that is clear, logically organized, and professional, with correct grammar and spelling, using current APA style.
  • Reference
    Berkow, S., Workman, J., Aronson, S., Stewart, J., Virkstis, K., & Kahn, M. (2012). Strengthening frontline nurse investment in organizational goals. JONA: The Journal of Nursing Administration, 42(3), 165–169.
    Professional Context
    This assessment will allow you to describe a plan proposal that includes an analysis of best practices of interprofessional collaboration, change theory, leadership strategies, and organizational resources with a financial budget that can be used to solve the problem identified through the interview you conducted in the prior assessment.
    Scenario
    Having reviewed the information gleaned from your professional interview and identified the issue, you will determine and present an objective for an interdisciplinary intervention to address the issue.
    Note: You will not be expected to implement the plan during this course. However, the plan should be evidence-based and realistic within the context of the issue and your interviewee’s organization.
    Instructions
    For this assessment, use the context of the organization where you conducted your interview to develop a viable plan for an interdisciplinary team to address the issue you identified. Define a specific patient or organizational outcome or objective based on the information gathered in your interview.
    The goal of this assessment is to clearly lay out the improvement objective for your planned interdisciplinary intervention of the issue you identified. Additionally, be sure to further build on the leadership, change, and collaboration research you completed in the previous assessment. Look for specific, real-world ways in which those strategies and best practices could be applied to encourage buy-in for the plan or facilitate the implementation of the plan for the best possible outcome.
    Using the Interdisciplinary Plan Proposal Template [DOCX] will help you stay organized and concise. As you complete each section of the template, make sure you apply APA format to in-text citations for the evidence and best practices that inform your plan, as well as the reference list at the end.
    Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.
  • Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific goal related to improving patient or organizational outcomes.
  • Explain a change theory and a leadership strategy, supported by relevant evidence, that is most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.
  • Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan’s objective. Include best practices of interdisciplinary collaboration from the literature.
  • Explain organizational resources, including a financial budget, needed for the plan to succeed and the impacts on those resources if the improvements described in the plan are not made.
  • Communicate the interdisciplinary plan, with writing that is clear, logically organized, and professional, with correct grammar and spelling, using current APA style.
  • Additional Requirements
  • Length of submission: Use the provided template. Remember that part of this assessment is to make the plan easy to understand and use, so it is critical that you are clear and concise. Most submissions will be 2 to 4 pages in length. Be sure to include a reference page at the end of the plan.
  • Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old.
  • APA formatting: Make sure that in-text citations and reference list follow current APA style.
  • Note: Faculty may use the Writing Feedback Tool when grading this assessment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment, once your work has been evaluated.
    Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.

    PART TWO:

Assessment 4 Instructions: Stakeholder Presentation

For this assessment you will create an 8-12 slide PowerPoint presentation for one or more stakeholder or leadership groups to generate interest and buy-in for the plan proposal you developed for the third assessment.
As a current or future nurse leader, you may be called upon to present to stakeholders and leadership about projects that you have been involved in or wish to implement. The ability to communicate a plan—and potential implications of not pursuing such a plan—to stakeholders effectively can be critically important in creating awareness and buy-in, as well as building your personal and professional brand in your organization. It is equally important that you know how to create compelling presentations for others’ delivery and ensure that they convey the same content you would deliver if you were the presenter.
You are encouraged to complete the Evidence-Based Practice: Basics and Guidelines activity before you develop the presentation. This activity consists of six questions that will create the opportunity to check your understanding of the fundamentals of evidence-based practice as well as ways to identify EBP in practice. The information gained from completing this formative will help promote success in the Stakeholder Presentation and demonstrate courseroom engagement—it requires just a few minutes of your time and is not graded.
Demonstration of Proficiency

  • Competency 1: Explain strategies for managing human and financial resources to promote organizational health.
    • Explain how the interdisciplinary plan could be implemented and how the human and financial resources would be managed.
  • Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
    • Explain an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal.
  • Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.
    • Summarize an evidence-based interdisciplinary plan to address an organizational or patient issue.
  • Propose evidence-based criteria that could be used to evaluate the degree to which the project was successful in achieving the improvement goal.
    • Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
  • Communicate the PowerPoint presentation of the interdisciplinary improvement plan to stakeholders in a professional, respectful manner, with writing that is clear, logically organized, with correct grammar and spelling, using current APA style.
  • Professional Context
    This assessment will provide you with an opportunity to sharpen your ability to create a professional presentation to stakeholders. In this presentation, you will explain the Plan-Do-Study-Act cycle and how it can be used to introduce the plan (P), implement the plan (D), study the effectiveness of the plan (S), and act on what is learned (A) to drive continuous improvement. By using this cycle, the stakeholders will have a tool and a proposal to expand on these ideas to drive workplace change and create improved processes to solve an interprofessional collaboration problem.
    Scenario
    In addition to summarizing the key points of Assessments 2 and 3, you will provide stakeholders and/or leadership with an overview of project specifics as well as how success would be evaluated—you will essentially be presenting a discussion of the Plan, Do, and Study parts of the PDSA cycle. Again, you will not be expected to execute the project, so you will not have any results to study. However, by carefully examining the ways in which your plan could be carried out and evaluated, you will get some of the experience of the thinking required for PDSA.
    When creating your PowerPoint for this assessment, it is important to keep in mind the target audience: your interviewee’s organizational leadership. The overall goal of this assessment is to create a presentation that your interviewee could potentially give in his or her organization.
    Instructions
    Please follow the Capella Guidelines for Effective PowerPoint Presentations [PPTX]. If you need technical information on using PowerPoint, refer to Capella University Library: PowerPoint Presentations.
    Be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.
  • Explain an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal.
  • Summarize an evidence-based interdisciplinary plan to address an organizational or patient issue.
  • Explain how the interdisciplinary plan could be implemented and how the human and financial resources would be managed.
  • Propose evidence-based criteria that could be used to evaluate the degree to which the project was successful in achieving the improvement goal.
  • Communicate the PowerPoint presentation of the interdisciplinary improvement plan to stakeholders in a professional manner, with writing that is clear, logically organized, and respectful with correct grammar and spelling using current APA style.
  • There are various ways to structure your presentation; following is one example:
  • Part 1: Organizational or Patient Issue.
    • What is the issue that you are trying to solve or improve?
    • Why should the audience care about solving it?
  • Part 2: Relevance of an Interdisciplinary Team Approach.
    • Why is using an interdisciplinary team relevant, or the best approach, to addressing the issue?
    • How will it help to achieve improved outcomes or reach a goal?
  • Part 3: Interdisciplinary Plan Summary.
    • What is the objective?
    • How likely is it to work?
    • What will the interdisciplinary team do?
  • Part 4: Implementation and Resource Management.
    • How could the plan be implemented to ensure effective use of resources?
    • How could the plan be managed to ensure that resources were not wasted?
    • How does the plan justify the resource expenditure?
  • Part 5: Evaluation.
    • What would a successful outcome of the project look like?
    • What are the criteria that could be used to measure that success?
      • How could this be used to show the degree of success?
  • Again, keep in mind that your audience for this presentation is a specific group (or groups) at your interviewee’s organization and tailor your language and messaging accordingly. Remember, also, that another person will ultimately be giving the presentation. Include thorough speaker’s notes that flesh out the bullet points on each slide.
    Additional Requirements
  • Number of slides: Plan on using one or two slides for each part of your presentation as needed, so the content of your presentation will be 8–12 slides in length. Remember that slides should contain concise talking points, and you will use presenter’s notes to go into detail. Be sure to include a reference slide as the last slide of your presentation.
  • Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old.
  • APA formatting: Make sure that in-text citations on your slides and in your notes pages and reference slide reflect current APA Style and Format.
  • Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.

Final Quality Project

/in /by

Final Quality Project

Part 3: Core Measures

The Hospital Inpatient Quality Reporting Program was originally mandated by Section 501(b) of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003. This section of the MMA authorized CMS to pay hospitals that successfully report designated quality measures a higher annual update to their payment rates. Initially, the MMA provided for a 0.4 percentage point reduction in the annual market basket (the measure of inflation in costs of goods and services used by hospitals in treating Medicare patients) update for hospitals that did not successfully report. The Deficit Reduction Act of 2005 increased that reduction to 2.0 percentage points. This was modified by the American Recovery and Reinvestment Act of 2009 and the Affordable Care Act of 2010, which provided that beginning in fiscal year (FY) 2015, the reduction would be by one-quarter of such applicable annual payment rate update if all Hospital Inpatient Quality Reporting Program requirements are not met. Under the Hospital Inpatient Quality Reporting Program, CMS collects quality data from hospitals paid under the Inpatient Prospective Payment System, with the goal of driving quality improvement through measurement and transparency by publicly displaying data to help consumers make more informed decisions about their health care. It is also intended to encourage hospitals and clinicians to improve the quality and cost of inpatient care provided to all patients. The data collected through the program are available to consumers and providers on the Hospital Compare. Data for selected measures are also used for paying a portion of hospitals based on the quality and efficiency of care, including the Hospital Value-Based Purchasing Program, Hospital-Acquired Condition Reduction Program, and Hospital Readmissions Reduction Program. Additional measures are selected with wide agreement from CMS, the hospital industry and public stakeholders like The Joint Commission (TJC), the National Quality Forum (NQF), and the Agency for Healthcare Research and Quality (AHRQ). Hospital Compare is a consumer-oriented website that provides information on how well hospitals provide recommended care to their patients. This information can help consumers make informed decisions about where to go for health care. Hospital Compare allows consumers to select multiple hospitals and directly compare performance measure information related to heart attack, heart failure, pneumonia, surgery and other conditions. These results are organized by:

• General information • Survey of patients’ experiences • Timely & effective care • Complications • Readmissions & deaths • Use of medical imaging • Payment & value of care

 

 

 

Hospital Compare was created through the efforts of Medicare and the Hospital Quality Alliance (HQA). The HQA: Improving Care Through Information was created in December 2002. The HQA was a public-private collaboration established in December 2002 to promote reporting on hospital quality of care. The HQA consisted of organizations that represented consumers, hospitals, providers, employers, accrediting organizations, and federal agencies. The HQA effort was intended to make it easier for consumers to make informed health care decisions and to support efforts to improve quality in U.S. hospitals. Since it’s inception, many new measures and topics have been displayed in the site.

• In 2005, the first set of 10 “core” process of care measures were displayed on such topics as heart attack, heart failure, pneumonia and surgical care.

• In March 2008, data from the Hospital Consumer Assessment of Healthcare Providers and

Systems (HCAHPS) survey, also known as the CAHPS Hospital Survey, was added to Hospital Compare. HCAHPS provides a standardized instrument and data collection methodology for measuring patient’s perspectives on hospital care. Also in 2008, data on hospital 30- day mortality for heart attack and heart failure was displayed. Later in 2008, mortality rates for pneumonia was added.

• In 2009, CMS added data on hospital outpatient facilities, which included outpatient

imaging efficiency data as well as emergency department and surgical process of care measures.

• 2010 saw the addition of 30-day readmission measures for heart attack, heart failure and

pneumonia patients.

• In 2011, CMS began posting data on Hospital Associated Infections (HAIs) received from the Centers for Disease Control and Preventions (CDC) National Healthcare Safety Network (NHNS). The measure sets have been expanded to include ICU’s and other hospital wards.

• In 2012, we added the CMS readmission reduction program and measures that were

voluntarily submitted by hospitals participating the American College of Surgeons National Surgical Quality Improvement Program. The three measures are:

o Lower Extremity Bypass surgical outcomes o Outcomes in Surgeries for Patients 65 Years of Age or Older o Colon Surgery Outcomes

• Hospital Compare saw the addition of the Hospital Value Based Purchasing program data in

2013. CMS continues to evolve the website, with the addition of the Overall Hospital Quality Star Rating in July 2016 and the re-introduction of measure data from Veterans Health Administration Hospitals.

 

 

After reading and following the directions, you will be provided with 10 questions. The key performance data that you will discover is readily available to the general public, your health care competitors, insurance companies and managed care organizations, and all stakeholders in your organization. Hospital administrators (e.g., CEO, CFO, COO) must be aware of this data, read it, understand it, and act on it to improve the quality of care provided in their organizations, which is necessary to best serve their communities and maintain their institution’s financial success and competitive edge. DIRECTIONS:

• Go to https://www.medicare.gov/hospitalcompare/ and read through the general information provided.

• Under the title “Hospital Compare,” type in the location Orlando, FL.

• Click on “Find Hospitals.”

• When the hospitals within this area appear, select to compare “Orlando Health Orlando

Regional Medical Center,” “AdventHealth Orlando,” and “Health Central,” then COMPARE.

• From the data displayed, locate the answers to the following 10 questions:

 

1. From the complications and death measures, which of the following three hospitals scored “Better than U.S. National Rate” on “Death Rate for COPD Patients”?

a. Orlando Health Orlando Regional Medical Center b. AdventHealth Orlando c. Health Central

 

2. From the timely and effective care measures, which of the following three hospitals scored 90% on the process of care measure for “Healthcare Workers Given Influenza Vaccination”?

a. Orlando Health Orlando Regional Medical Center b. AdventHealth Orlando c. Health Central

 

3. From the survey of patients’ hospital experiences, in comparing the three hospitals, what did you find was the national average for all reporting hospitals in the United States for the “percent of patients who reported that their nurses ‘always’ communicated well.”

a. 77% b. 76% c. 81% d. 78% e. 79%

 

 

 

4. From the timely and effective measures, which of the following three hospitals scored the highest on the process of care measure for percent of ““Percentage of patients who received appropriate care for severe sepsis and septic shock”?

a. Orlando Health Orlando Regional Medical Center b. AdventHealth Orlando c. Orlando Health

 

5. From the survey of patients’ hospital experiences, which of the following three hospitals scored the lowest percentage on “Patients who reported YES, they would definitely recommend the hospital (to friends and family).”?

a. Orlando Health Orlando Regional Medical Center b. AdventHealth Orlando c. Health Central

6. From the complications of care measures, which of the following three hospitals scored Better

than the National Benchmark for “Surgical site infections (SSI) from colon surgery”? a. Orlando Health Orlando Regional Medical Center b. AdventHealth Orlando c. Health Central

7. From the timely and effective measures, which of the following three hospitals had the lowest

percentage on the measure for percent of “Outpatients who had a follow-up mammogram, breast ultrasound, or breast MRI within the 45 days after a screening mammogram ”?

a. Orlando Health Orlando Regional Medical Center b. AdventHealth Orlando c. Health Central

8. From the payment and value of care measures, which of the following three hospitals had

Greater than the National Average Payment on the measure for “Payment for heart attack patients”?

a. Orlando Health Orlando Regional Medical Center b. AdventHealth Orlando c. Health Central

9. From the unplanned hospital visits measures, what did you find was the national rate for all

reporting hospitals in the United States for the “Rate of readmission after discharge from hospital (hospital-wide).”

a. 15.3% b. 16.3% c. 14.3%

 

10. From the timely and effective care measures, what did you find was the rate for the state of Florida for all reporting hospitals for the “Percent of mothers whose deliveries were scheduled too early (1-2 weeks early), when a scheduled delivery was not medically necessary.”

a. 0% b. 1% c. 2%

 

Order a Similar Paper

A process recording is a written tool used by field education experience students, field instructors, and faculty to examine the dynamics of social work interactions in time.

/in /by

A process recording is a written tool used by field education experience students, field instructors, and faculty to examine the dynamics of social work interactions in time. Process recordings can help in developing and refining interviewing and intervention skills. By conceptualizing and organizing ongoing activities with social work clients, you are able to clarify the purpose of interviews and interventions, identify personal and professional strengths and weaknesses, and improve self-awareness. The process recording is also a useful tool in exploring the interpersonal dynamics and values operating between you and the client system through an analysis of filtering the process used in recording a session.

For this Assignment, you will submit a process recording of your field education experiences specific to this week.

(Please see attached examples as to how assignment should be done).

Note: You are submitting a written transcript, not an audio or video recording.

The Assignment (2–4 pages) (Blank template is attached):

· Provide a transcript of what happened during your field education experience, including a dialogue of interaction with a client (students internship is an inpatient mental health hospital as a therapist. Serving clients with mental health and substance abuse).

· Explain your interpretation of what occurred in the dialogue, including social work practice theories, and explain how it might relate to diversity or cultural competence covered this week.

· Describe your reactions and/or any issues related to your interaction with a client during your field education experience.

· Explain how you applied social work practice skills when performing the activities during your process recording.

 

.

Order a Similar Paper

Information Technology and Organizational Learning

/in /by

Chapter 11 – Review the employment challenge in the digital era (as well as the entire chapter).  Reflect on the various challenges present in the digital era.  Will things get better or more complicated as time goes on?  Explain.  What are some methods to assimilate new generations into the workforce to think about competitive advantage?

(Information Technology and Organizational Learning)

The above submission should be one -page in length and adhere to APA formatting standards

**Remember the page length does not include the APA cover page or any references**

 

View Expert Answer 

 

Related Searches;

 

Unit VI Case Study

/in /by

Unit VI Case Study

Most would agree that parenting is a lifelong job. The parent’s obligations begin once the baby is conceived and seemingly never end, even after his or her child becomes an adult.

Suppose that you are the parent in each of the following scenarios. Based on what you have learned from this unit’s materials, answer the following questions for each scenario by explaining how you would effectively handle each situation.

Note: While it is understood different people and even entire cultures have different parenting styles; your answers should be based on the research and theories presented in this unit.

Describe the stage of cognitive development of the child in each scenario. Explain how you would address the child and the situation. Will you use punishment in any of the situations? What tactics would be the most useful considering your child’s level of cognitive development?

Scenario 1: At the playground, your 5-year-old daughter shoves another child and takes away the child’s toy. Your daughter then screams at the child and runs away.

Scenario 2: You discover that your 13-year-old son has taken $20 from your purse and is planning to use it to purchase vapes (e-cigarettes) at school. The only reason you found out is because your 15-year-old daughter tattled after becoming upset that her brother would not give her half of the loot to serve as hush money. How do you address each child?

Scenario 3: Your 21-year-old daughter comes home from college and excitedly shares that she met a new guy on Tinder, and she plans to marry him next month. She then reveals that she will be quitting school, despite only having 1 year left to complete her bachelor’s degree. (She does not see the need for her degree any longer, as her fiancé́ is rich, or so she has been told.) She has decided to throw away the career plans and dream wedding she has planned since she was 10 years old because now she finally has her Prince Charming, and her life is all set!

Your combined answers for each scenario must be at least 150 words, for a minimum of 450 words for the entire assignment (not including the title and reference pages).

Your answers should include an insightful and thorough analysis and present a strong argument with evidence. You must use at least one source to support your analysis. This may be your textbook or another scholarly source. All sources used will be properly cited. Your case study, including all references, will be formatted in APA style.

 

Order a Similar Paper

 

Security Architecture and Design

/in /by

Instructor: Dr. < Your Name >

Class: ISOL536-Security Architecture and Design

Assignment: Week 4 Individual Assignment 4

Length: Minimum of 600 words

Total points: 30 points

Due date: Sunday, February 2, 2020

 

 

Briefly respond to all the following questions. Make sure to explain and backup your responses with facts and examples. This assignment should be in APA format and have to include at least two references.

Figure 8.1 Business analytics logical data flow diagram (DFD).

Consider the data flow “octopus,” as shown in Figure 8.1. How can the analysis system gather data from all these sources that, presumably, are protected themselves?

 

 

 

 

Order a Similar Paper

Discussion  (Security Architecture and Design)

/in /by

Please read instructions:

1) Discussion  (Security Architecture and Design)

If an attacker can retrieve the API and libraries, then use these to write an agent, and then get the attacker’s agent installed, how should Digital Diskus protect itself from such an attack? Should the business analytics system provide a method of authentication of valid agents in order to protect against a malicious one? Is the agent a worthy attack surface?

400 Words – 2 References – APA Format.

2) Assignment (Security Architecture and Design)

PFA – for assignment requirement

600 Words – 2 References – APA Format – Must include Conclusion

3) Discussion (Emerging threats and Countermeasures)

 

This chapter discusses the relevance of diversity strategy while securing any set of national assets. Diversity in national infrastructure involves the introduction of intentional differences into systems such as vendor source, deployment approach, network connectivity, targeted standards, programming language, operating system, and software version. Two systems are considered diverse if their key attributes differ, and nondiverse otherwise. The requirement for physical diversity in the design of computing infrastructure is perhaps the most familiar of all diversity-related issues. The idea is that any computing or networking asset that serves as an essential component of some critical function must include physical distribution to increase its survivability. A national diversity program should be developed that would call for coordination between companies and governmental agencies in several

Start a discussion thread and discuss how the types of threats discussed in the article could impact our economy, and how implementing Diversity (as discussed in Chapter 4) could help mitigate these threats.

For additional information click the link below:

https://www.resdal.org/Archivo/usa-home-prote.htm

You must do this following:

1) Create a new thread. As indicated above, discuss how the types of threats discussed in the article referenced above could impact our economy, and how implementing Diversity (as discussed in Chapter 4) could help mitigate these threats.

TextBook:  Amoroso, E. G. (2012). Cyber-attacks: protecting national infrastructure. Elsevier. 

Let me know if you have any questions.

 

Order a Similar Paper

Data Visualisation:

/in /by

Three storytelling techniques are  discussed in the text (pages 161-209) in which data is presented and  stories are being interpreted. What is the importance and the advantages  of using these techniques? Provide an example of each technique.

Reference

Kirk, A. (2016). Data Visualisation: A Handbook for Data Driven Design. Thousand Oaks, CA: Sage Publications, Ltd.

Note: Please write 250 words in APA format with In-text citation

 

 

Order a Similar Paper

Information Governance and Legal Functions

/in /by

Chapter Eight (8): Information Governance and Legal Functions: According to the authors, Smallwood, Kahn, and Murphy, IG is perhaps one of the functional areas that impact legal functions most. Failure to meet them could be literally put an organization out of business or land executives in prison.   Privacy, security, records management, information technology (IT), and business management functions are very important.  However, the most significant aspect of all of these functions relates to legality and regulatory compliance from a critical perspective.

Q1: When we take a close look at the author’s point of view, under the Federal Rules of Civil Procedures (FRCP) amendments dating back to 1938 there has been governance and the discovery of evidence in lawsuits and other civil cases.  Please name and briefly discuss the three (3) reasons why corporations must proactively manage the e-discovery process?

 

Order a Similar Paper