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

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

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

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

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

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

Your assignment must follow these formatting requirements:

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

The specific course learning outcomes associated with this assignment are:

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

 

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Asthma is a respiratory disorder that affects children and adults. Advanced practice nurses often provide treatment to patients with these disorders. Sometimes patients require immediate treatment, making it essential that you recognize and distinguish minor asthma symptoms from serious, life-threatening ones. Since symptoms and attacks are often induced by a trigger, advanced practice nurses must also help patients identify their triggers and recommend appropriate management options. Like many other disorders, there are various approaches to treating and managing care for asthmatic patients depending on individual patient factors.  

One method that supports the clinical decision making of drug therapy plans for asthmatic patients is the stepwise approach, which you explore in this Assignment.

                                                   To Prepare

Reflect on drugs used to treat asthmatic patients,      including long-term control and quick relief treatment options for      patients. Think about the impact these drugs might have on patients,      including adults and children.

Consider how you might apply the stepwise approach to      address the health needs of a patient in your practice.

Reflect on how stepwise management assists health care      providers and patients in gaining and maintaining control of the disease.

Create a 5- to 6-slide PowerPoint presentation that can be used in a staff development meeting on presenting different approaches for implementing the stepwise approach for asthma treatment. Be sure to address the following:

Describe long-term control and quick relief treatment      options for the asthma patient from your practice as well as the impact      these drugs might have on your patient.

Explain the stepwise approach to asthma treatment and      management for your patient.

Explain how stepwise management assists health care      providers and patients in gaining and maintaining control of the disease.      Be specific.

  Book link

https://www.sendspace.com/file/llbyl3

 

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APA 3-page paper with at least 4 references that addresses the following:

• 1. Select one the following factors: genetics, gender, ethnicity, age, or behavior factors.
• 2. Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study above.
• 3. Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.
• 4. Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.
• CASE STUDY: Patient CB has a history of strokes. The patient has been diagnosed with type 2 diabetes, hypertension, and hyperlipidemia. Drugs currently prescribed include the following: 
• Glipizide 10 mg po daily
• HCTZ 25 mg daily
• Atenolol 25 mg po daily
• Hydralazine 25 mg qid
• Simvastatin 80 mg daily
• Verapamil 180 mg CD daily

 

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Instructions:

This is a group assignment. During Week 1, you will self-select and self-enroll to groups (3 persons/group). If enrollment numbers/changes require a different number, please coordinate with faculty. Faculty will assign your group a case study and data; this is what you will work with the remainder of the course to create your final QI report. Please find your case study and data, along with other project resources in “QI Project Resources: (button found on L-hand side of course site). The case study will prompt you to consider best practices regarding a particular clinical problem (e.g., preventing/reducing falls). Please note how Discussion board topics Weeks 2-4 prompt you to individually complete several portions of this project. Use the individual work done in these discussions and the opportunity to see others’ work and receive feedback to refine your group’s work on the final QI report.

You and your group mates are responsible for 1) initiating contact with each other, 2) exchanging contact information, 3) creating a timeline for assignment completion, 4) determining collaborative tools you’d like to use to complete the assignment (e.g., Google Docs), 5) identifying and assigning group roles and distributing work load evenly, and 6) maintaining effective communication with each other (e.g., conflict prevention and resolution, timely and frequent communication, etc.). Collaborative resources are available to assist you, under “Course Support” (L-hand side of course site).

Using your assigned project (i.e., case study/data), components of the final written report must include:

Background of the problem 

• Depth and breadth of the problem (e.g., national statistics and local data to demonstrate a problem exists)
• Definition of the problem with references
• PICO question

Evidence

• What evidence did you find? Synthesize the evidence
• Appraisal of the evidence using the JBI appraisal tools (include as appendix)
• Levels of evidence

Analysis of Current Condition

• Narrative and table, graph, flow chart of current condition (data from assigned problem)
• Include missed opportunities (examination of current process versus what the evidence says should be done using a flowchart); these are your indicators.

Cause Analysis 

• Root Cause Analysis and Fishbone Diagram. Identify where the problems exist that you will address.

Action Plan for Each Indicator

• What the evidence says should be done. The changes that should occur in order to improve practice, to include:
  • Indicator (look at your indicator sheet): Provide the evidence to support in one sentence.
  • Measurement: Numerator and denominator. How will you measure that the change is being done?
  • Goal: What is your goal data? Benchmarks?
• Implementation:  Include Best Practices for implementing your change and evidence to support your implementation strategy
• Create a table with the following information for each indicator:
  • Who (is responsible)?–>Describe who is responsible
  • What (are they responsible for?)–>Explain what they are responsible for completing (each indicator described above)
  • Why (did you select this person?)–>Rationale for why this person should be responsible for this action
  • When (will they perform the action?)–>What is the timeline for completing the task?
  • How (will they complete the action?)–>Explain how the person should complete the action (think of implementation described above)
  • Completion Date–>Date for completing the action

References

There is no template for the written report; it is up to your group how to best present content in a professional and scholarly manner. Please include the following as part of your final product:

Names and Summary of Contributions of Group Members completing assignment.docx

RCA(Root Cause Analysis):

1- There is only one WSCN for entire facility to provide wound care.

  2– The WSCN only provides care on Monday-Friday from 8am-7pm.

 3-The WSCN has no speciality certification or master’s degree in wound care.

   4- Patients are only assessed once per shift, which should be assessed during every shift.

   5-  Nurses on the floor don’t have skills and proper training or education on assessment and treatment of pressure ulcers.

  6- There is no clear path or protocol in wound care within the facility.

    7- Lack of effective communication between nurses for patients who need wound care in case for any technical issue it doesn’t appear in generated computer list.

PICO question:  

 For hospitalized patients with restricted movement, does the use of I.S.K.I.N bundles reduce the future rate of HAPU compared to the current hospital regulations?

  Best Available Evidence Action Plan
-Frequent position changes (at least every two hours)

-Avoid friction and shear when repositioning.

-When repositioning, use proper technique.

-Implement pressure relieving mattresses or surfaces.

-Avoid turning patient on an area that is already reddened related to pressure.

-For pressure ulcer prevention, do not rub or massage area.

-Emollients can be used to hydrate the skin.

-Barrier creams to protect skin from increased moisture.

-Frequent skin assessments per protocol.

-Nutritional risk assessments with interventions.

-Additional protein supplements in additional to their regular diet  Alderden et al (2011) list the following best practices in preventing HAPU’s.

 

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ormat: These essays are to be written in APA style based on APA expectations. Essays must be structurally intact with appropriate grammar, sentence and paragraph composition, spelling, punctuation, and logical, clear essay development (including introduction and conclusion). Paper length 1-2 pages excluding cover and reference page. Must have a minimum of three references and references must be within 5 years. Please make sure the paper flows well together.

please message me for topic

No plagiarism  Please use scholarly sources and no wikipedia

Please submit the plagiarism checker report along with assignment.

 

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