Finance and economics in health care delivery discussion 6 (grading

Making the Case for Capital Budget Expenditures
 
As a nurse, you are probably very aware of and can speak to the emotional reasons behind the need for certain major expenditures such as a new nurse’s lounge or replacing the current patient information system with a new digital system. You would love to see your nurses have a comfortable area where they can rejuvenate from a stressful day with patients. Alternatively, nurses carrying around PDAs would certainly ease the recording and transmission of vital patient information. However, as a nurse manager you need to be able to support those emotional appeals with reliable financial data. Having a place to refresh will help nurses be more efficient, and could reduce sick days and nurse errors. Being able to quickly access doctor’s orders and previous nurse’s comments allows for a more timely response to patients. As your responsibilities expand, you may find yourself at the table when decisions about capital expenditures are being debated. It is therefore to your advantage to understand the workings of a capital budget.
In this Discussion, you consider the impact of both financial and emotional factors in making a capital budget decision,
 
To prepare:
 
Review the information on capital budgets in this week’s Learning Resources.
Consider why it is important for nurse managers to understand the capital budget of an organization. How are capital budgets used in your own organization (or one with which you are familiar)?
Reflect on the importance of thinking strategically when developing this type of budget.
Identify a new piece of equipment you would like to see purchased by the organization. Consider how knowledge of capital budgeting could influence your approach to making the request.
Develop strategies for demonstrating the need for this capital expenditure that take into account both financial and emotional considerations.
 
Post an analysis of why it is important for nurse managers to understand principles of capital budgeting. Describe a costly new piece of equipment you would like your organization (or one with which you are familiar) to purchase. Explain strategies for demonstrating the need for this equipment to decision makers. Briefly outline how you could use financial data and emotional appeals to demonstrate the benefits of this purchase.
 
AND
 
Respond to at least two of your colleagues on two different days. Suggest an additional strategy for demonstrating the need for the equipment they described and why you believe it might be successful
(I will send the responses soon)
 
Required Readings
 
Baker, J., Baker, R. W. (2014). Health care finance: Basic tools for nonfinancial managers(4th ed.). Burlington, MA: Jones and Bartlett Learning.
Chapter 16, “Capital Expenditure Budgets” (pp. 187–197)
 
The focus of this chapter is capital expenditure budgets and how they differ from operational budgets. It discusses how to develop and evaluate capital expenditure proposals.
Zelman, W., McCue, M., Glick, N. (2009). Financial management of health care organizations: An introduction to fundamental tools, concepts, and applications (3rd ed.). Hoboken, NJ: Jossey-Bass.
Retrieved from the Walden Library databases.
Chapter 8, “Capital Financing for Health Care Providers” (pp. 329–373)
 
This chapter explores two types of financing—equity financing and debt financing—as well as the bond issuance process that can be used to finance capital expenditures. Additionally, the authors discuss the option of lease financing, a possible alternative to the two other types of financing.
 Danna, D. (2014). Essential business skills for nurse managers. Health Leaders Media. Retrieved from http://www.healthleadersmedia.com/content.cfm?content_id=204441topic=WS_HLM2_
This article discusses the need for nurses to understand the business skills necessary in healthcare today.
 Himmelstein, D. U., Jun, M., Busse, R., Chevreul, K., Geissler, A., Jeurissen, P., Woolhandler, S. (2014). A comparison of hospital administrative costs in eight nations: US costs exceed all others by far. Health Affairs, 33(9), 1586-1594.
Copyright 2014 by Project Hope/Health Affairs Journal. Reprinted by permission of Project Hope/Health Affairs Journal via the Copyright Clearance Center
 
This article compares the hospital administrative costs in several nations.
 Zismer, D., Sterms, J., Claus, B. (2011). Capital efficiency and integrated health system designs. Healthcare Financial Management, 65(7), 88–90, 92, 94.
Retrieved from the Walden Library databases.
 
 
In this article, the author examines how system designs play a crucial role in capital efficiency and return on investment. The author also analyzes how this role may change in the future.
 

National rural health association (due: 48 hours)

*******************National Rural Health Association*****************************
 
1) **********minimum 20 slides with speakers notes (cover, objetives or reference slide not included)
******************Should summarize the findings in a 2 pages
2)¨**********APA norms  (All paragraphs must be narrative and cited in the text- each paragraphs)
3)********** It will be verified by Turnitin and SafeAssign 
4) References not older than 5 years
5) Each answer must be identified according to the question number. Check the list of questions. 
Your answer should start objectively answering the question
Question:
1)
2)
3)
Answer:
1)
2)
3)

1)investigate the group’s key issues;
2) what is their mission; 
3) what is their legislative agenda; 
4) how is the agenda developed; 
5) how is it communicated to members; 
6) how is their agenda pushed and promoted (i.e., mechanisms used to engage/attract and influence policy makers); 
7) what are the group’s current lobbying efforts; 
8) key partner coalitions; 
9) do their partnerships influence policies at the local, state or national level; 
10) key obstacles; 
11) spending allocations 
12 *********************Mandatory: consult the Center for Responsible Politics, www.opensecrets.org. 
investigating the interest group’s website:
13) reviewing position statements and testimony
14) should consult media reports and discuss more information on the group’s current lobbying efforts. 

Nr 512 all course discussion posts week 1 _ week 8

NR 512 Fundamentals of Nursing Informatics 
(Chamberlain College of Nursing)
 
NR 512 Week 1 TD 1 Impressions of Nursing Informatics
NR 512 Week 1 TD 2 Integration of Nursing Informatics Skills and Competencies
NR 512 Week 2 TD 1 DIKW
NR 512 Week 2 TD 2 Wisdom Versus Judgement
NR 512 Week 3 TD 1 Adoption of Standardized Terminologies in Practice
NR 512 Week 3 TD 2 Impact of Standardized Terminologies on Practice
NR 512 Week 4 TD 1 Transitioning From a Task Focus to Knowledge Work
NR 512 Week 4 TD 2 Reflection on Nursing Informatics Competencies
NR 512 Week 5 TD 1 Knowledge Generation Through Informatics
NR 512 Week 5 TD 2 EHR Pros and Cons
NR 512 Week 6 TD 1 Key Legislation Shaping HIT Use and Impacting Nursing Practice
NR 512 Week 6 TD 2 Issues Surrounding Personal Health Information (PHI) Ownership
NR 512 Week 7 TD 1 Ethical Use of Information
NR 512 Week 7 TD 2 Safeguarding Health Information and Systems 
NR 512 Week 8 TD Application of Knowledge

Health assessment | NURS 6512 Advanced Health Assessment and Diagnostic Reasoning

    Understanding cultural diversity is very important for a provider. This week I was assigned to obtain a cultural assessment on a 23-year-old Native American male. Currently, M. R. is experiencing increased anxiety and is requesting for something to help calm this new anxiety. He has been currently using marijuana and alcohol to help self treat. Although he feels that if he continues with this lifestyle, he will be unable to enter heaven. He currently does not take any prescription medications, denies other illegal drugs, and has a positive health history of diabetes, hypertension, and alcoholism. 
            Understanding ones view of health, illness, and their approach to cure an ailment will allow the provider to provide balance and harmony (Ball, Dains, Flynn, Solomon, Stewart, 2019, p. 28). Each culture and religion has a different understanding and approach to the conditions they may face. Providers need to be competent in culture to care for their patient’s beliefs, behaviors, and needs, which are presented during their visit (Centers for Disease Control and Prevention, 2015, para. 3).  
            In this case study of a 23-year-old Native American male, it does poses some cultural concerns. As M. R.’s provider, it is important to understand the cultural devastation that has occurred within Native American tribes, which has resulted in high homicide and suicide rates, the abuse of alcohol, increased drug use both intentional and unintentional, which has contributed to high rates of chronic liver failure resulting in death (Espey, Jim, Cobb, Bartholomew, Becker, Haverkamp, Plescia, 2014, p. 307).
            In M. R.s case, it is important to understand that his cultural beliefs can be based on holistic care. To help aide in M. R.’s care, the provider will need to obtain more information on the cultural practices in which he utilizes. Five examples of question that will be presented during the interview are as follows:

Do you have a support person you can talk to?
What are your cultural beliefs and practices?
How often do you utilize alcohol and marijuana?
How do you feel about alternative treatment options or herbal remedies?
What are your thoughts on traditional medication to treat your anxiety?

While presenting these questions to M. R., I would utilize the RESPECT model, along with providing an open environment, allow space and non-verbal therapeutic communication. Although more questions will be asked during this interview to obtain a proper cultural background for the treatment of M. R.’s needs to restore balance and harmony within his life.  
References
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., Stewart, R. W. (2019). Seidels guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Centers for Disease Control and Prevention. (2015). Cultural competence. Retrieved from https://npin.cdc.gov/pages/cultural-competence
Espey, D. K., Jim, M. A., Cobb, N., Bartholomew, M., Becker, T., Haverkamp, D., Plescia, M. (2014). Leading causes of death and all-cause mortality in American Indians and Alaska Natives. American Journal of Public Health, 104(Suppl 3), S303–S311.
I NEED A RESPONSE FROM THIS ASSIGNMENT 1 PAGE
THANKS

What is the purpose of an embedded operating system and why would one be used? Discuss at least two advantages and two vulnerabilities in utilizing an embedded OS. Directions: Your completed assignment should be at least 2 FULL double-spaced page(s) i

What is the purpose of an embedded operating system and why would one be used? Discuss at least two advantages and two vulnerabilities in utilizing an embedded OS. Directions: Your completed assignment should be at least 2 FULL double-spaced page(s) i

20th century nursing | Nursing homework help

 There was much progress in nursing during the early to middle part of the 20th century (1900 through the late 1930s). After reading the textbook and the lesson for this week, describe one area of change in nursing during that time period that intrigues you. Discuss how that area could be applied today. 

Case study: an ethics scenario paper

Consider an ethical dilemma that could surface in a classroom or school environment regarding cultural diversity, social media, or students with disabilities.
Provide a detailed 700- to 1,000-word description of the scenario and share the following details:

What key elements created this dilemma?
Was there an opportunity to avoid this dilemma?
Were there violations of policies or norms in this event?
What ethics theories seem to most apply here?
Describe the resolution (or lack of).
What might be different next time? What was learned? Who learned?

PLEASE SEE RUBURIC ATTACHED!!!!!!!!!
 
Format your paper consistent with APA guidelines and use at least three sources in your research.

Ebp response 2 | Nursing homework help

Respond to your colleagues posts by sharing your thoughts on  their specialty, supporting their choice or offering suggestions if  they have yet to choose. 
At least 2 references in each peer responses! 
  
Nursing today is continually changing and expanding.  Staying current on the latest best practices is essential.  Evidence-based practice is a philosophy of implementing the best practices and procedures that have been proven, through research and studies, to facilitate the most favorable outcomes.  In 2010 under the Obama administration and the Affordable Care Act, evidence-based practice (EBP) shifted health care from being based on a reimbursement system and quantity to a system based on evidence and quality (Laureate Education, 2018).  EBP is a long-term problem-solving approach to clinical practice.  These practices integrate evidence from research, clinical experience, theories, expert panels, patient values, and preferences (Melnyk Fineout-Overholt, 2018).  
For this discussion assignment, I have chosen the Mayo Clinic website.  The Mayo Clinic is the oldest and largest medical group with several multispecialty facilities, combining medical practice with research and education on both a national and international level.  The Clinic has a united model of care that permits multi-disciplinary practice that fosters the team-orientated patient health care and accountability (Bakri Mayo Clinic, 2014).  Mayo clinics mission statement is To inspire hope and contribute to health and well-being by providing the best care to every patient through integrated clinical practice, education and research (Mayo Clinic, n. d.).
I believe that the Mayo Clinic is well-grounded in EBP, through the many research activities in which they are involved.  Through research, the Mayo Clinic has been involved in over a hundred medical breakthroughs.  All of these have contributed to the well-being of the patient population.  Good examples are their development of a rapid way to diagnose surgical specimens allowing their surgeons to explore, diagnose, and repair all in one operation.  Also, the mayo clinic isolated thyroxin, the principal hormone of the thyroid gland; only the second time, a pure hormone had been isolated, and the Mayo Clinic developed a DNA test to diagnose anthrax rapidly (Mayo clinic, n. d 

Health policy, politics, and perspectives (2nd field experience log)

GUIDELINES FOR THE 2nd FIELD EXPERIENCE REQUIREMENT:You must “attend” 1 policy event, at least approximately 1 hour in length. 
The event may be online and it must have a health policy focus. Online health policy events/ webinars will be posted from which you may choose.  Event must be health-related. 
GENERAL GUIDELINES:1.  At the event, take notes, and then write up an account and analysis of the event, using the template for field experience logs (below), and the Field Experience Rubric.
FIELD LOG GUIDELINES:
As a way of demonstrating completion of this course requirement, you must submit, in writing, field logs that detail certain aspects of the event. The template for field experience logs is below.
·  Each event log should be three to five double-spaced pages of text.
·  Provide only a brief summary of the event itself.
·  The analysis section should be 550 to 800 words, and be the most developed component of the report. In the analysis section, you can write about the process of policy being made at this event, and/or you can write about the actual health policy issue being discussed/considered.
·  Your analysis should reference at least two sources. They can be from the learning materials in this course or other sources, but should be current (within the last 3 months).
·  Use APA format for citations and references.
TEMPLATE FOR FIELD EXPERIENCE LOGS :·  The name of the event/meeting and who has sponsored it.
·  The name of the event/meeting and who has sponsored it.
·  Describe the steps taken in preparation for the event (beyond listening or attending the event).
·  Place, date, time, and length of hearing/meeting/event.
·  Topic under discussion.
·  Names of participants and their titles (to the extent you can get them).
·  Brief description of the testimony/meeting/event. (If more than one issue is presented, discuss a sampling of issues.)
·  Analysis of the health policy issue and its implications for healthcare. Integrate course content and readings in your analysis. This section should be approximately 500 to 750 words.
TURNITIN ASSIGNMENT (FREE OF PLAGIARISM)!!!
Note: Attached, you will find a Field Experience Log work you did for me last week as a Reference for this new 2nd Field Log assignment. 

Biometrics is an invasion of privacy?

Many people believe that the use of biometrics is an invasion of privacy. For example, an eye scanning device records the inner structure of a person’s eye and stores that image in a database. Critics worry that databases of human traits used to maintain corporate security may actually pose a privacy threat to individuals, if such data were used in other ways. In your view, are such concerns justified? Why or why not?