Explain and define, what is a microagression. 

The Discussion Post should be written in complete sentence form with punctuation, proper grammar and correct spelling.

Please answer the questions with at least five complete sentences for each question.  The respond to two other students’ posts.

1.  Explain and define, what is a microagression.  

2.  Have you experience an microaggression? Give details. 

What are some potential hypotheses you could test in your current or past position?

So we have seen the book give you a number of different demonstrations of how statistics can be used in business. But after this module’s reading, you might be wondering does hypothesis testing actually apply to one’s everyday work?

Applying leaning from this week’s reading, respond to the following questions:

  • What are some potential hypotheses you could test in your current or past position?
  • Why do you think testing these hypotheses would (or would not) be valuable to your organization?
The family is insisting the patient wants everything done. How do you think the staff should proceed?

A patient arrives in the ER with a “thumper” piston-driven device providing CPR to an 82 year old client who was found unresponsive on the floor at home-possibly from a sudden  ventricular Cardiac event. The ER just received a DNR from a prior hospitalization for a UTI. The family is insisting the patient wants everything done. How do you think the staff should proceed?

Assuming that you cannot visit these people in person, and you have no positional authority, what can you do to maximize your persuasiveness?

Suppose that you are part of a virtual team and must persuade other team members on an important matter (such as switching suppliers or altering the project deadline). 

  • Assuming that you cannot visit these people in person, and you have no positional authority, what can you do to maximize your persuasiveness? (Remember, you have NO positional authority, so many sources of power are not available to you).
Consider the factors affecting location decisions for manufacturing and services. How are they different?  

150 words

  1. Consider the factors affecting location decisions for manufacturing and services. How are they different?  
  2. In most cases, the manufacturing operations supply products to the service operations.  What strategies are used relating to the supply chain logistics network to support improved performance? 
  3. Consider the operational risks that exists within a supply chain.  How can ERP systems and lean systems be applied to help mitigate these risk within the entire supply chain?
What are the first 32 bits of the output of the first round?

1) Suppose you have the following 64-bit block: {1, 1, 0, 0, 0, 1, 1, 1, 0, 0, 0, 1, 0, 0, 1, 1, 1, 1, 1, 1, 1, 1, 1, 0, 1, 1, 0, 0, 0, 1, 1, 0, 0, 1, 0, 0, 1, 0, 1, 1, 0, 1, 0, 0, 1, 0, 1, 1, 1, 0, 0, 0, 0, 1, 0, 0, 1, 0, 1, 1, 0, 1, 0, 1}. This 64-bit block is the input of the first round in DES, that is (L0,R0). What are the first 32 bits of the output of the first

round?

2) Suppose you have the following 64-bit block: {0, 1, 1, 0, 0, 1, 0, 0, 1, 0, 1, 1, 1, 1, 0, 1, 0, 0, 1, 1, 0, 0, 0, 1, 1, 0, 0, 1, 1, 1, 0, 0, 1, 0, 0, 1, 0, 0, 0, 0, 1, 1, 1, 0, 1, 0, 0, 1, 1, 1, 0, 0, 0, 1, 1, 0, 0, 0, 0, 1, 0, 1, 0, 1}. This 64-bit block is the input of the second round in DES, that is (L1,R1). What are the first 32 bits of the output of the second round?

3) Suppose you have the following 64-bit block: {0, 0, 0, 1, 0, 1, 1, 1, 1, 0, 0, 1, 0, 0, 0, 1, 0, 1, 1, 0, 1, 1, 0, 1, 1, 1, 0, 1, 0, 1, 0, 1, 0, 0, 1, 1, 0, 1, 0, 0, 1, 1, 1, 0, 1, 1, 0, 0, 0, 1, 1, 1, 1, 1, 1, 1, 0, 0, 1, 1, 1, 1, 0, 1}. This 64-bit block is the input of the first round in DES, that is (L0,R0). Suppose also that the output of the function “f” is the following 32-bit block: {0, 1, 0, 0, 1, 0, 0, 1, 0, 1, 0, 1, 0, 0, 0, 0, 1, 1, 1, 0, 1, 1, 1, 1, 1, 0, 0, 1, 1, 1, 0, 0} What is the output of the first round?

4) Suppose you have the following 64-bit block: {1, 1, 1, 1, 0, 1, 0, 0, 1, 1, 1, 1, 0, 1, 0, 0, 1, 0, 0, 0, 0, 0, 1, 0, 1, 1, 1, 0, 1, 0, 1, 0, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 1, 0, 1, 1, 1, 1, 1, 0, 1, 0, 0, 1, 0, 1, 1, 0, 1, 0, 1, 0, 1, 1}. This 64-bit block is the input of the first round in DES, that is (L0,R0). Suppose also that the output of the function “f” is the following 32-bit block: {1, 1, 0, 1, 1, 1, 0, 1, 0, 0, 0, 1, 0, 1, 1, 1, 0, 1, 0, 1, 0, 0, 0, 0, 1, 0, 1, 1, 1, 1, 0, 0} What is the output of the first round?

Why are benefits strategically important to employers, and what are some key strategic considerations?

150 words

  • Why are benefits strategically important to employers, and what are some key strategic considerations?
  • Based on the information discussed in the chapter, how would you oversee the design (or redesign) of a benefits program in a large organization? What issues would you consider?
  • What can first-line supervisors do to help control workers’ compensation costs, and how might they be rewarded for doing so?
  • What should an employer do when facing an OSHA inspection?
  • As the HR manager of a distribution and warehouse firm with 600 employees, you plan to discuss a company wellness program at an executive staff meeting next week. The topics to cover include what a wellness program is, how it can benefit the company and employees, and the process for establishing it. 
When is medically assisted N/H indicated?
  1. Cure / care: compare and contrast.
  2. Basic care: Nutrition, hydration, shelter, human interaction.
    • Are we morally obliged to this? Why? Example
  3. Swallow test, describe; when is it indicated?
  4. When is medically assisted N/H indicated?
    • Briefly describe Enteral Nutrition (EN), including:
      • NJ tube
      • NG tube
      • PEG
    • Briefly describe Parenteral Nutrition (PN), including:
      • a. Total parenteral nutrition
      • b. Partial parenteral nutrition
  5. Bioethical analysis of N/H; state the basic principle and briefly describe the two exceptions.
  6. Case Study: Terry Schiavo (EXCEL FILE on Module 7: Lecture Materials & Resources page). Provide a bioethical analysis of her case; should we continue with the PEG or not? Why yes or why not?
  7. Read and summarize ERD paragraphs #:  32, 33, 34, 56, 57, 58.
Discuss what factors make up an organization’s culture and how do you ensure that culture is sustainable and ethical?

150 words

  • Discuss what factors make up an organization’s culture and how do you ensure that culture is sustainable and ethical?
  • Have you ever received a performance appraisal? Describe your reaction to the appraisal system. If you haven’t, please explain what appraisal process you would prefer.
  • As a manager, discuss what would you do if you discovered a group of employees were slaves to their placement agencies?
Why would DSM-5, ICD-10-CM, SNOMED CT, and ICD-11-MMS be used to record opioid use disorder?  

Assignment: Answer Real world cases 5.1 and 5.2 questions; at least one page for each real world case; cite textbook. Please see chapter readings from textbook below

Real-World Case 5.1

The 2015 Edition EHR technology certification criteria state the following:

Smoking status: Enable a user to electronically record, change, and access the smoking status of a patient in accordance with the standard specified.

· 45 CFR 170.315(a)(11). Coded to one of the following SNOMED CT codes:

· Current everyday smoker. 449868002

· Current some day smoker. 428041000124106

· Former smoker. 8517006

· Never smoker. 266919005

· Smoker, current status unknown. 77176002

· Unknown if ever smoked. 266927001

· Heavy tobacco smoker. 428071000124103

· Light tobacco smoker. 428061000124105

Objective: Record smoking status for patients 13 years or older.

Measure: More than 85 percent of all unique patients 13 years old or older seen by the eligible professional or admitted to the eligible hospital’s or critical care hospital’s inpatient or emergency department during the EHR reporting period have smoking status records as structured data.

A quick reference for meeting the smoking status promoting interoperability requirement is ­included in the American Academy of Family Physicians (AAFP) Tobacco and Nicotine Cessation Toolkit. The AAFP supports the incorporation of tobacco cessation into EHR templates (AAFP 2015). The quick reference provides guidance on what should be included in a tobacco cessation EHR template.

Real World Case 5.1

1. Why would SNOMED CT be used to record the smoking status of a patient on an EHR template?

2. Why was ICD-10-CM not chosen as the system to capture smoking status?

3. Review the SNOMED CT codes. Which ones have a namespace identifier and an extension? What part of the identifier is the namespace and what part is the extension?

Real-World Case 5.2

Opioid use is a major concern for healthcare professionals and organizations worldwide. Even governmental agencies are becoming involved. For example, the National Institutes of Health launched the Helping to End Addiction Long-term as a way to speed scientific solutions to curtail the national opioid public health crisis. The accurate identification of opioid use disorder is important to the success of the research that will take place. DSM-5, ICD-10-CM, SNOMED CT, and in the future ICD-11-MMS are all possible ways to identify cases for research.

Real World Case 5.2

1.            Why would DSM-5, ICD-10-CM, SNOMED CT, and ICD-11-MMS be used to record opioid use disorder?  

2.             If you were helping with a research study on opioid use disorder and asked to identify what should be included from SNOMED CT, ICD-10-CM, and ICD-11-MMS for opioid use disorder, what would your report say?  

                Websites may be used to look up opioid use disorder:  

                SNOMED CT: https://browser.ihtsdotools.org/  

                ICD-10-CM: https://www.icd10data.com/  

                ICD-11-MMS: https://icd.who.int/browse11/l-m/en  

3.             Considering the same research study, what would you point out as changes in the classification for opioid use disorder between ICD-10-CM and ICD-11-MMS?

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