Founders Government Powers Congress Discussion

1. Why were the Founders so specific about which powers Congress  would and would not have? Choose any two of the expressed powers from  Article I, Section 9 and explain why the Founders saw a need for  Congress to have those specific powers.2. How useful is a filibuster? Why do you think it was used more often and more successfully in the past than it is today?

Prepare an Abstract paper on this topic “Quantitative analysis of Security Breaches on Healthcare systems

Prepare an Abstract paper on this topic “Quantitative analysis of Security Breaches on Healthcare systems”.
Paper should follow all proper guidelines of APA 6th and 7th edition.
Abstract should include only 150-300 words. 
Please find the attachment to follow the guidelines for abstract and include 15 references which is related to the abstract.
Please provide “15 sources” references list also in separate page. Please find the attached document for reference page. 

University of South Florida Organic Chemistry Questions

I need help with a Chemistry question. All explanations and answers will be used to help me learn. Discuss and describe substitution reactions. Describe and discuss SN1 mechanism. Describe and discuss SN2 mechanism. Discuss (with examples) factors affecting SN1 and SN2 reactions. Describe and provide a detailed mechanism (use arrow pushing) for the preparation of tert-butyl chloride. Provide a potential undesired (side) reaction that can occur during the preparation of tert-butyl chloride. 

Resource file (rf) | Special Needs

 
View the following in the RF Module in Canvas:? RF#1 Description? RF#1 Example? RF#1 Grading Rubric? RF#1 Template
2. Formatting Requirements? APA style for citations? Size 11 font? 1.5 spacing? Works Cited page
3. Choose a disability from your textbook, instructor’s acceptable list, or other appropriate resource.4. Research the disability.5. Complete the RF#1 Template6. Cite Sources
Use link below to pick disability.  
 Different Types of Disabilities: List of 21 Disabilities (wecapable.com) 

CCF Impact of Penicillin Transforming Society & Shaping Modern Medicine Essay

With the rapidity of scientific advancement in the 1800’s in the fields of thermodynamics, electricity, and magnetism, the large-scale implications of many discoveries were not completely understood or even examined. For this essay, pick a discovery/invention from the 19th century or earlier (no nuclear weapons or computers) and discuss how it has changed society in an unintended or unforeseen manner.  

disasters management Discussion

Read chapter 22 and 28 of the class textbook and review the attached PowerPoint presentations.  Once done, answer the following questions.1.  Identify and discuss the types of disasters.2.  Mention and discuss two natural and man-made disasters that recently occurred and discuss how they affect the community health.3.  Discuss the stages of disaster management.4.  Describe and discuss the role and responsibilities of community/public health nurses in relation to disasters.

Evaluation of options – decision matrix

This is the second assignment in the Virtual Capstone Project. The AHIMA Engage Community has been accessed and has provided valuable information on coding production and quality coding standards. This information supports you as you continue to follow up with the CFO on Dr. Crowe’s physician income issue. The assignment in this module will use a Decision Matrix, which is a popular tool used to assist with complex business choices.
This assignment contains four parts:

Part 1: Gathering Data: Facility Information
Part 2: Gathering Data: Connecting with Coding Outsource Companies
Part 3: Decision Matrix: Locate and Enter Data
Part 4: Prepare Your Submission

To begin this assignment, first read the scenario below and then perform the steps in the four parts that follow.
Scenario:
The Coding Unit Problem continues to develop. You realize that physician income is directly connected to coding which is part of your department. The status of the Coding Unit is as follows:

Staffing: 25 FTEs (10 coders are assigned to Physician Office Coding)
Assignments: Ip, Op, ER, MD Office and Professional Fee Coding
Staff works Remote, out of office after training complete
Over the last 4 years, the Coding Unit has had 4 different coding managers.

Alyza obtains coding production and quality standard comparison information on physician office coding from the AHIMA Engage Community. Using the standardized data and her own benchmarks, she compares the data to her current 10 physician coding staff members. Using database queries, she validates that all ten coders are meeting the production standards and then prepares a coding audit from the most recent 3 months to ensure her coders are meeting quality standards. The quality standard is set at 92% which is in line with data obtained from the Engage Community.
Quality Standards Coding Audit Results

As the Director of HIM you report the production and quality findings above to the CFO who is concerned and responds that he wants you to evaluate the possibility of outsourcing the coding work for physician office coders. The CFO went through a complete coding outsource at Rush Memorial and the financial results were very impressive. He further indicates that Fantasticode handled the coding outsource project, and their 15 years of coding experience ensured that the outsource project was successful.
You review outsource decision criteria considerations with him which include 1) financial costs of physician coding, 2) benefit impact of existing coders, 3) years of coding experience, and in addition the CFO acknowledges that any staffing outsource at LiveWell will 4) impact the facility reputation. The CFO directs you to complete research, gather all information and report back with a recommendation in 30 days. He further directs you to keep your data gathering confidential and to work directly with Human Resources for data gathering.
Part 1: Gathering Data: Facility Information
Suzanne, the HR Director, is prepared with data when you arrive to her office. She shares the following information with you:

Full time employees get insurance benefits at a cost of $500 to LiveWell, per month, per person.
Part time employees do not get insurance.
Hokim, Janet, Bernie, and Carol all make $22.00 per hour and are full-time.
Penny, Vernita, and Shemaya all make $24.00 per hour and are full-time.
Mila, Marcy, and Tom are part-time and make $22, $24, and $25 per hour respectively.
All full-timers work 2080 hours per year and part-timers work 1040 hours per year.

You use this information to complete Table 2 below to determine cost of the Physician Office Coding Team. However, Suzanne was unable to provide complete information for you so she left a message with Benefits Specialist, Kathy, regarding one employee benefit, Short Term Disability. Kathy, in turn, left a voicemail with her reply.
Do the following:

Review Kathy’s voicemail by clicking the link below and extract the information you need from her reply:

Download the assignment template below and complete Table 2 in the template:

Table 2

The HR director also contacts the Marketing/Public Relations department and requests a Public Relations evaluation. She asks “How will an outsourcing of employee work impact the reputation of LiveWell?” Suzanne doesn’t specify any type of employee, unit, or department. The marketing director provides the following response after a thorough analysis, and in Table 3 below you assign decision scores to the information for use in the Decision Matrix later in this assignment:

Finally, Suzanne also offers you the short list below for benefit consideration which ideally will equate to the benefits that the physician coding employees currently receive at LiveWell.
Benefit Evaluation for Staff 

Life insurance equivalent to LiveWell
Health insurance coverage and cost comparable to LiveWell
Vacation time eligibility and provision comparable to LiveWell
Short term disability provided comparable to LiveWell

LiveWell benefits and those rated as “comparable” will be rated as a 2 in the Decision Matrix. Benefits that exceed LiveWell’s will be rated as a 3, and benefits that fall below will be rated as a 1.
After gathering all LiveWell employee information above, you proceed with data gathering from Coding Outsource Companies.
Part 2: Gathering Data: Connecting with Coding Outsource Companies
To continue and complete the criteria consideration requested by the CFO, you confidentially contact a local coding company, Competent Coding Company (CCC) that you have used periodically over the last 4 years when the workload fell outside of turnaround guidelines. Additionally, a fellow professional whom you graduated from college with and have stayed in touch with uses Midwest HIM Professionals (MHP) which is a nationwide coding company. You request information from both companies and give them a 2 week deadline for the information.
The CFO’s secretary calls you and tells you to expect a call from Fantasticode who will also bid on the physician office coding project. You place all gathered data from the coding companies in the table below.

To complete data gathering for the decision matrix, you prepare Table 5 below which assigns a value to both the Cost Criteria and the Years in Service Criteria.

Part 3: Decision Matrix: Locate and Enter Gathered Data
Use data provided above in Tables 2, 3, 4, and 5 to complete the Decision Matrix below in Table 6. Then total up the scores and use the scoring result to make a recommendation to the CFO in your upcoming meeting. Type your entries into the Module 06 Virtual Capstone Project Template you started to complete in Part 1 of this assignment.

Part 4: Prepare Your Submission
Complete your submission for this assignment as follows:

Ensure that Tables 2 and 6 of the Module 06 Virtual Capstone Project Template are completed.
Research the following questions using two different credible resources:

Why use a Decision Matrix: how is it helpful in the evaluation of complex business decisions?
How to use a Decision Matrix: what key steps should be followed?

Add your answers to these questions, in paragraph form, to the end of the Module 06 Virtual Capstone Project Template. Be sure to cite your sources and include an APA-formatted reference page.

Embry Riddle Promo & Adv Discussion Response

1. NdePromotion and advertising can make a huge difference on a business. Companies use promotional strategies to communicate their messages to the marketplace (Berkowitz, 2017). The four major components used are advertising, personal selling, publicity, and sales promotion (Berkowitz, 2017). There are many factors that contribute to effective communication and many of these factors can affect companies directly (Berkowitz, 2017). It is crucial a company’s message stays clear, accurate, and positive through translation because it is so easy to twist people’s words to create a more interesting story for television and media.In the above scenario, this local hospital made an executive decision to downsize their nursing staff. Unfortunately, for the hospital the television station didn’t report a favorable impression to the public regarding this change. Based on this local television station’s report, the citizens of this town now have the impression if they attend this hospital they will be receiving a lower quality of care than other healthcare facilities that staff more nurses. Hospitals cutting staff to reduce costs is something patients and employees dread having to go through. This not only detrimental to the patients but also for the staff but it is requiring them to do more work and work longer hours. In this case the local hospital now must deal with some negative publicity. The administrator was most likely trying to explain the truth of situation, but the public only heard the negative side of the story. The administrator should have consulted and prepared a statement with a public relations executive to prepare a planned response to help deal with the questions that could produce a negative response (Berkowitz, 2017). The local hospital should also focus on getting some positive feedback out in the public to help bury the negative news segment. Another way to help boost positivity is by online reviews. Most people read reviews online before choosing a healthcare facility, especially if they are not familiar with any of them. The local hospital could offer patients an incentive to leave a review after their visit during the checkout portion.Social media is very broad and constantly changing and it is referred to as internet-based tools that allow us to communicate, share ideas, information, personal messages, images, and any other content (Ventola, 2014). Social media tools are there for health care providers and if used correctly it can help generate positive feedback and more patients. Social networking platforms can include media-sharing sites, blogs, wikis, and etc. (Ventola, 2014). These tools can be used to improve and enhance professional networking and education, organizational promotion, patient care, patient education, and public health programs (Ventola, 2014).As said in Psalm 20:4, “May he grant you your heart’s desire and fulfill all your plans!” (English Standard Version). Also said in Genesis 12:2, “And I will make of you a great nation, and I will bless you and make your name great, so that you will be a blessing” (English Standard Version). We must work hard to make our healthcare system great and promote the great things we are working towards. References:Berkowitz, E. N. (2017). Essentials of Health Care Marketing. Jones and Bartlett Learning, Burlington, MA.The Bible. English Standard Version.Ventola, C.L. (2014). Social Media and Health Care Professionals: Benefits, Risks, and Best Practices. P&T Pharmacy and Therapeutics, A Peer-Reviewed Journal for Managed Care and Hospital Formulary Management, 39(7). Retrieved from 2.Kassawale A decision to downsize nursing staff in a health care organization can have huge impacts on not on a health care organization, but the entire community. There are many instances I can recall recently with similar news headlines. Since the onset of Covid-19, the theme of health care seems to do more with less. This is especially true for nurses. In this case, an interview was conducted that left an unfavorable impression of the impact on quality care provided in this specific organization. The textbook states, “essential to an effective marketing organization is the ongoing measurement and monitoring of outcomes” (Berkowitz, 2017). In this case, it would appear the outcome was not good. When being involved in an interview, it is necessary to know what the purpose is behind the actual interview. The interviewer may try to lead you in a direction you do not want to go. It would be interesting to read the transcript from this particular interview and see what actually made it to the news. The following has been said, “interviews are particularly helpful in illuminating individual perspectives or experiences surrounding a specific topic or phenomenon, especially when little is known about the targeted question or when substantial depth of opinion is desired” (Jordan et al., 2021). In this case, the health care administrator should have taken the time to see what the interviewer’s narrative was going to be. The unfortunate part of this situation is that only 15 seconds were used from the 20-minute interview. This is an interesting discussion to have in the current health care climate. It has been said that “nurses’ contribution to the health care system is remarkable and as health care professionals they are doing more than their capacity within the limited resources as well as lack of facilitation” (Ahmad & Asmat, 2021). In addition to a nursing shortage, there has been an increase in concern is the knowledge and skills of nursing graduates. I believe Covid-19 is a big reason for this. This is why the following statement is important, “institutions and health authority needs to implement proper internship program which may be helpful to overcome these problems at the individual or organizational level” (Ahmad & Asmat, 2021). The health care administrator could have highlighted thing their organization was doing to ensure nursing were properly trained and an internship is put in place. The Bible tells us, “Let no corrupting talk come out of your mouths, but only such as is good for building up, as fits the occasion, that it may give grace to those who hear” (Ephesians 4:29, English Standard Version). Although this health care administrator had good intentions, it did not come across that way. Moving forward, more preparation should be done prior to conducting an interview. Another suggestion would be to write up a statement. With a written statement, words are less likely to be misconstrued. At the end of the day, there is some news that won’t be received well, regardless of how much preparation went into an interview.References:Ahmad, I & Asmat, S. (2021). nurses’ shortage and challenges during internship: An emerging issue. Journal of Postgraduate Medical Institute, 35(4), 197. Berkowitz, E. N. (2017). Essentials of health care marketing (Fourth Edition). Jones & Bartlett Learning.Jordan, J., Clarke, S. O., & Coates, W. C. (2021). A practical guide for conducting qualitative research in medical education: Part 1—How to interview. AEM Education and Training, 5(3), e10646-n/a. Each reply must incorporate at least 2 scholarly citations and the course textbook in APAformat and 1 instance of biblical integration. All sources cited should be published withinthe last five years with the exception of the Bible. Acceptable sources include scholarly, peer-reviewed references and the Bible.

Confidentiality in social work practice

 
One of the most important concepts in clinical practice and group work is confidentiality. All members of the group sign an informed consent form in order to address the rules and parameters of the group sessions. The rules regarding confidentiality are stated in one section of the form. Although every member must sign this agreement, ensuring that all information shared in the group remains confidential can be difficult. As the group leader, the clinical social worker is responsible for developing strategies so that all members feel safe to share.
For this Discussion, review the “Working With Groups: Latino Patients Living With HIV/AIDS” case study. ATTACHED
 Post strategies you might prefer to use to ensure confidentiality in a treatment group for individuals living with HIV/AIDS. Describe how informed consent addresses confidentiality in a group setting. How does confidentiality in a group differ from confidentiality in individual counseling? Also, discuss how you would address a breach of confidentiality in the group. .
 
Working With Groups: Latino Patients Living WithHIV/AIDS
The support group discussed here was created to address the unique needs of a vulnerable population receiving services at an outpatient interdisciplinary comprehensive care center. The center’s mission was to provide medical and psychosocial services to adult patients living with HIV/AIDS (PLWH). Both patients and providers at the center expressed a need for a group to address the needs of the center’s Latino population. At the time the group was created, 36% of the center’s population identified as Latino, and 25% of this cohort identified Spanish as their primary language. The purpose of the group was twofold: 1) to reduce the social isolation felt by Latino patients at the center and 2) to create a culturally sensitive environment where Latino patients could explore common medical and psychosocial issues faced by PLWH within a cultural context.
Planning for the group consisted of 1) defining a format for the group, 2) recruiting appropriate members, and 3) building an appropriate group composition. When considering the format of the group, I thought about structure, time, place, and language. The group was designated a closed group in that new patients were not admitted once the initial membership was determined. The group was held in the center’s conference room, which was furnished with comfortable seating around a large conference table so that members were visible to each other during group sessions. The group met once a week for 90-minute sessions during which 60 minutes were spent on open discussion and the last 30 minutes were spent on having lunch. Given the importance of food in the Latino culture, I thought members would appreciate the opportunity to share a meal with their peers. I decided to designate the group as Spanish-speaking so that all sessions were held in Spanish. This offered members not only a sense of comfort and an opportunity to explore issues in their native tongue, but it also addressed the language barrier that often isolates Latino PLWH.
I used several strategies to recruit members. I hung flyers throughout the center, and I informed my colleagues about the group during interdisciplinary staff meetings. Referrals ultimately came from physicians, social workers, and even administrative staff who had developed relationships with patients at the center. When considering group composition, I focused on creating balance in group size and the characteristics of individual members. I worked to create a group with enough members so that discussions would be fruitful and differing opinions could be presented, but at the same time, individual members would have an opportunity to discuss their unique feelings, thoughts, and opinions. When it came to member characteristics, I strove to create a balance between homogeneity and heterogeneity across such domains as age, sex, sexual orientation, socioeconomic status, etc. The goal was to create a group where no member felt isolated by uniqueness while simultaneously promoting diversity between members. Prior to being admitted to the group, potential members were interviewed/screened in person or by phone. The focus of these interviews was to 1) assess the patient’s ability to communicate in Spanish, 2) describe the purpose of the group, 3) discuss individual expectations for the group, and 4) answer questions about group process and function. A total of 15 patients were referred. Four declined to participate before the group started and two did not show up after the first session. Of the remaining nine members, three were women and six were men. All of the men had a significant history of intravenous drug use (IVDU). Two of the men identified as gay, one identified as bisexual, and three considered themselves to be heterosexual. All of the women were heterosexual, identified a risk factor of unprotected heterosexual sex, and denied a history of IVDU. Members’ ages ranged from 36 to 60.
The group ran successfully for 18 months. Throughout the life of the group, several recurrent themes were discussed, including 1) stigma of HIV and homosexuality, 2) disclosure of HIV status, 3) safer sex practices, 4) adherence to HIV treatment, and 5) the doctor–patient relationship. Each of these themes was discussed within a cultural context giving light to issues such as familialism, collectivism, simpatia, machismo (gender roles), and Latino culture’s tendency to rely on a folk model of medicine.
As in most groups, certain members adopted roles within the group. For example, Anna, a 46-year-old female member, adopted the role of the “silent member.” She repeatedly came to sessions and sat in silence, only responding when she was prompted by direct questions from me or other members. The challenge with Anna was that as this behavior continued, other members tended to ignore her and leave her out of the discussion. In turn, it became my role to try to engage Anna as much as possible and draw her into the discussion. Another example is Diego, a 60-year-old male, who adopted the role of the “help-rejecting complainer.” Throughout group sessions, Diego repeatedly presented a problem or issue and engaged the entire group by asking for help. When members responded with suggestions or solutions, he came up with a myriad of excuses why none of them would work. I will admit I was not successful at altering Diego’s behavior in any way. I attempted to point out the pattern, and I tried to ask other members how it felt to constantly have their input rejected, but nothing seemed to work. Group members did express frustration and boredom with Diego. This was manifested in their body language and during group sessions when Diego was not present. When members spoke about Diego in his absence, I always encouraged them to bring these issues to his attention when he was present, but members were not able to do this because they were fearful of hurting his feelings.
Ultimately, the group served as an arena for mutual support and commonality. Group members forged relationships with peers with whom they would not have had contact in the absence of the group. They also had the opportunity to reflect on their illness and personal experiences within a safe and culturally sensitive environment. While a scientific evaluation of the group was not performed, I witnessed and members reported positive outcomes from the experience.

BIO Career Point College Biology Questions

Did each paragraph give me your opinion if you agree or disagree with the paragraph I chose to research Insulin. My family has a history of diabetes and I always want to know more as my children are at risk of being diabetic. It is in the works to make insulin replacement a possibility without the injections. The benefits could be that diabetics would not have to be dependent on insulin shots every day. They can live their life free of it. I believe people should support this. Diabetics have been changed to needles and viles for far too long. Organisms should be labeled as to what they are. No product should be misleading in any way. 2. Genetically Modified Organisms-Growth HormonesFor this discussion, present a summary of the genetically modified organism that you are researching for your Unit 10 assignment.How is the technology being used? Explain the gene of interest, name the organism into which it is inserted, and describe the intended result.What are the possible benefits and negative effects of the technology? Explain.Do you think that individuals should object to or support this bioengineered plant, animal, or bacterium? Why or why not?Do you think governments should outlaw bioengineered organisms? Under what circumstances? Explain.Should the genetically modified organism involved be labeled so, if it is a consumable item? Explain.Genetic modification can occur in several things that we use daily. One thing specifically that contains genetic modification is growth hormones. Growth hormones are used in children and in adults. Hormones are a vital part of the body and enough of the hormones are not being produced on their own you may need a growth hormone injection. Genetic factors can interfere with the lack of growth especially in children and when there is damage to the pituitary glands in adults it can lead to a permanent deficiency.The treatment that is being utilized is HGH injections that are injected into the body several times a week by a prescribed doctor or it can be self-administered depending on the severity of the deficiency. HGH is designed to mimic the natural behavior growths in the body. These treatments can last for several years and various test are given to ensure that the treatments are working properly and there any additional health issues. The earlier children have treated the better chances they have in reaching their normal height. In adults, the goal is to help increase energy levels and reduce other health issues.It is very important to monitor those who are being treated with these infections to ensure that there aren’t any adverse effects from the drug. “Most people tolerate HGH injection treatments well with few problems. However, possible side effects include muscle aches, joint discomfort, headaches, swelling of the hands and feet” (Wu, 2019). People who have diabetes must be extra careful as well because it can affect their insulin levels.As with anything that is being created it is not always 100% accurate and it takes trial and error to get things right. I think there should be extra precautions that should be taken when administering HGH so that it doesn’t cause any unwanted issues. I think that it is beneficial in helping people achieve goals that they probably wouldn’t achieve on their own especially children. Having the quality of life is important and there is an opportunity to give a person that and be able to limit the negative side effects I think it will work.One of the most important skills for any manager to have let alone an emergency manager is good leadership and interpersonal communication skills. Leadership and communication are the foundation for every other skill set that will follow. In addition, the ability to adapt on the fly and provide leadership in otherwise dangerous situations provides the basis for all emergency managers in the area. Adaptability tto these situations comes in many forms and one important thing is that emergency managers must not only be able to adapt on the fly but must also be able to teach others how to adapt the same way.We are currently looking for an entry-level Emergency Manager who has a high degree of wanting to help their community as a whole. Leadership and communication skills with a high degree of ability to work on the fly and provide accurate reporting of incidents. Applicants must have atleast 2 years experience in a management position and a degree in public safety. Minimum of 25 years of age is required by all applicants and must have a high degree of respect for their community. 1. What qualifies you as an Emergency Manager?2. What are your strengths in this area?3. Give an example of your leadership.4. What certifications do you have?5. A Tornado strikes a local area with more predicted to be on the way, whats your first course of action?6. what training do you have planned to keep your team on their toes?7. in a event of a natural disaster, what should be priority one in restoring 8. During an event of a storm, how will you inform the public of the shelter location?9. What is the way you will help your team handle stress during these situations? 10. After the storm has passed and recovery efforts are winding down, What information will you use in order to help prevent future disasters on such a large scale?Strong knowledge base/experience in EMS and Disaster Preparedness/Management. Excellent verbal/written communication skills.  Ability to deal with several complex issues simultaneously. IDPH mandated position to direct and maintain an approved Emergency Medical Services (EMS) System.  Responsible for strategic planning and the administrative, educational, financial and human resource management on a 24-hour basis to facilitate high quality and cost effective EMS  and Emergency Preparedness (EP) services.  EMS Services include but are not limited to: Fire Department Advanced Life Support services, Police Department First Responder Programs, Private Ambulance services, Emergency Medical Dispatcher services, Emergency Communications RN’s, Disaster/Mass Casualty emergency preparedness planning.  Monitors and directs the activities of coordinators, instructors, ECRN’s, EMT’s Paramedics, EMD, FR/D associated with EMS System.  Takes an active role in region and statewide EMS policy and procedure development and maintenance. Reports to Department of Nursing, collaborates with EMS Medical Director and the Emergency Preparedness Medical Director. Northwest Suburban Hospital seeking Emergency Manager to join the team and help coordinate and facilitate daily activities related to the effective management of emergency services.  Must come to table with exceptional customer service, provide supportive workplace interactions and a sound professional work ethic. Applicants must have a Bachelor’s degree (Masters preferred) in Emergency Management, a 5year minimum of diverse experience in emergency services.  This posibiton requires knowledge of federal, state and local regulations and responsibilities related to emergency medical services (EMS) and emergency preparedness/response activities.  What skills do you have that would make you right for the job?Why did you leave your last position?When is the last time you were involved in an emergency situation?What was your role?What languages do you speak? How would you communicate effectively with different cultures if there was a language barrier?What qualities make someone a good team playerDo you consider yourself a strong communicator, if so why?What helps you multi task and stay organized and prioritize?Do you work well under pressure?Aimee Algren