Category: Health Care

Please complete all worksheets attached.
Comments from Customer
Discipline: Stru

Please complete all worksheets attached.
Comments from Customer
Discipline: Structure and Function – Mid Term Extra Credit

Attached is the paper instructions. Copy & pasted below as well
Case Study: Pat

Attached is the paper instructions. Copy & pasted below as well
Case Study: Patient Flow
Wait times in an Emergency Department have become longer and cause increased risks for hospitals. Patients who are not immediately screened and treated pose a threat of worsening of their symptoms. Hospitals have seen deaths in their waiting areas due to back log and the inability to screen and have the patient seen by a medical provider in a timely manner. These issues not only cause harm to patients but can impact the financial status of a hospital. Hospitals that depend on the Emergency Department for admissions are at the greatest risk of negative financial impacts. High occupancy rates engender chronic bed shortages, which are further exacerbated by unpredictable patient arrivals. While departments can identify their high utilization times, it is hard to predict the type of patient that will arrive at their doorsteps. In addition to potential risks, large wait times lead to patient dissatisfaction and a loss of business. Boarding is a well-described phenomenon within the emergency department (when patients often stay for several additional hours while awaiting hospital admission due to a lack of available inpatient beds.
The hospital to be examined is an inner-city hospital with a residency program. It is licensed for 150 inpatient beds. The payer mix is 65% Medicaid patients, 37% Medicare patients, and 3% private pay or uninsured. The hospital is part of a larger health system.
The hospital is experiencing 5 years of negative profit margins. The emergency department is the primary source of patient admissions. It is a 14-bed unit that sees 47,000 visits a year. Patients are often seen in the hallways due to overcrowding.
The admissions from the emergency department account for 97% of the total admissions. The unit is overwhelmed with patients leading to significant issues. Patient experience scores are in the lower quartile. The left without treatment rate in the Emergency Department is 12%. This means that patients register and are triaged but leave before they can be seen by a physician or physician extender. These patients or their insurance cannot be billed for any care or time that was provided since there was no medical screening. This is a loss of revenue and patients if the patient goes to another hospital.
The average time for a patient in the emergency department is 5 ½ hours. The time to admission for ICU patients is on average 12 hours. The time for a medical-surgical admission is 8 hours. Additional time information includes:
Time from registration to triage is 8 minutes
Triage to a bed in the Emergency Department is 12 minutes
Time from going into the emergency department to seeing a medical provider is 20 minutes
Time from being seen by a medical provider to decision to admit or discharge is 4 hours
Time from decision to discharge to leaving the emergency department is 1 hour
Time from decision to admit to a regular be is 3 ½ hours
Time from decision to admit to an ICU bed is 7 ½ hours.
The hospital is experiencing an over budget situation for salaries in the emergency department. This is largely made up of overtime costs for registered nurses. There is a high turnover rate for physicians. This is due to burnout and the intensity of the work. Recruitment costs for an emergency physician is $85,000 to $100,000 per physician. The salaries for the physicians are within the 65 percentiles for the area.
The hospital occupancy is 85%. The length of stay is above the geometric mean for the acuity and diagnoses that they see. This means that patients are staying longer on average than the same type of patients in other hospitals.
The average stay in the ICU is above the national average. The boarding of ICU patients is a frequent situation due to high occupancy on the general floors. The ICU is starting to discharge patients from their unit.
The discharge process on the general floors is complex. There are rounds in the morning with residents to identify potential discharges. The attending physicians then round and confirm that the patient can be discharged. Case management then arrives to handle the discharge. The average time to discharge a patient is 8 hours with most discharges occurring after 1 PM.
The CEO has asked the senior leadership to address the issue of Emergency Department wait times. They are looking for potential solutions. There needs to be short-term fixes and long-term solutions.
What questions should the team be asking and what approach should they take? The biggest question is whether they should enlarge the Emergency Department? Will this address the issue?
As you consider this case, think about the information you have been given?
Which areas might be addressed in the short-term to improve the patient flow?
What are the barriers to decreasing the wait times?
What processes can be improved?
What recommendations would you make to the CEO?
Short term recommendations
Long term recommendations
Instructions
The goal of this assignment is to understand the questions to be asked when examining an issue. There is no specific answer to this problem. I am looking to see if you can critically think about what you need to analyze in making a recommendation. Using a case analysis approach answer the questions that accompany the case.
The case analysis format requires more than just summarizing the main points. The goal is to synthesize the key findings, discuss the role each person plays and how they could/should work together. The key elements a case study should include are:
• An introduction that describes the purpose of the paper
• A discussion of the key issues
• Assumptions and a suggested course of action
• Recommendations for implementation
• Conclusion
The paper should be 5 – 6 pages using APA format. There should be references included.
Note: If you are not familiar with some of the regulations on Emergency Departments, you might want to learn about the Emergency Treatment and Labor Act (EMTLA). This act requires that anyone who comes to an emergency room to be seen must have a medical screening completed. This screening must be done by a licensed provider (physician, physician assistant or nurse practitioner).

Contain content addressing the items below. a) Pharmacotherapeutics i) State the

Contain content addressing the items below. a) Pharmacotherapeutics i) State the drug name and its therapeutic category. (1) Include approved therapeutic uses. ii) Provide a summary of the therapeutic use that your presentation will focus on. (1) Include a brief pathophysiology of the problem that is being addressed. iii) Pharmacodynamics (1) How does this drug work to achieve its intended response? iv) Pharmacokinetics (1) How is this drug absorbed, distributed, metabolized, and excreted? v) Discuss dosage, scheduling, route, and length of therapy. vi) Describe what clients can expect regarding their therapeutic response and when it should develop. vii) Introduce nondrug measures that clients can do to enhance their therapeutic response (e.g., specific diet to follow, exercise requirements, substances to avoid, special precautions to take, etc.).

Scenario:
Health consumers of all ages, including youth, are engaging in the use

Scenario:
Health consumers of all ages, including youth, are engaging in the use of electronic cigarettes. Using information found at the Centers for Disease Control (CDC)   Electronic CigarettesLinks to an external site. web page, analyze the CDC recommendations regarding persons age 18 and younger and the use of electronic cigarettes. The IT department of the community health center started the design of an informatics application to collect data on electronic smoking in youth consumers who visit the center. Their data intake form includes consumer identification and demographic information fields.
Imagine you are working on a team within your organization to further develop the overall design of this informatics application aimed at collecting data related to electronic cigarette use and youth consumers who visit the health center.

Per-review try to put 4 references well cited , and solve task 1 and 2 in a good

Per-review try to put 4 references well cited , and solve task 1 and 2 in a good way i want to get full mark please . And separate each question with a heading

Respond to your colleagues who chose a different national healthcare issue/stres

Respond to your colleagues who chose a different national healthcare issue/stressor than you selected. Explain how their chosen national healthcare issue/stressor may also impact your work setting and what (if anything) is being done to address the national healthcare issue/stressor. Include at least 2 scholarly sources of evidence, cited within the body of your discussion responses & at the end of your posting: The healthcare stressor I’ve selected is staffing shortages in the healthcare field. Frontline nursing staff have been on the decline for many reasons: the COVID-19 pandemic, nursing burnout and mental health crisis, and financial factors. Staffing shortages related to frontline staff can have a cascading effect on the quality of healthcare provided, leading to global health issues and coverage for all individuals (Tamata & Mohammadnezhad, 2023). Staffing shortages in healthcare lead to an exacerbation of social determinants of health in our communities. Social determinants of health (SDOH) are nonmedical factors affecting health outcomes, such as where people are born, where they work, live, and age. Economic policies, agendas, social norms, racial and ethnical prejudice, global warming, education, and politics affect SDOH (CDC, 2022). Nurses play a vital role in political change and initiating policy changes. Frontline staff are the first to realize when issues arise within current policies and procedures. When critically low staffing occurs, it can take time to determine what changes need to be made to improve patient outcomes related to current procedures vs outcomes that come from short staffing. With a lack of staff to advocate these political issues, it is impossible for change to be initiated to improve population health (Flaubert et al., 2021). Staffing shortages can create instability within healthcare systems, which can contribute to the inability of workers to initiate change for better healthcare, education, health protection, and growth (Greco et al., 2022). A lack of educational advancements, development, and health protection within healthcare systems can lead to a lack of proper care for patients and worsening patient outcomes. In my current healthcare system, in response to reduced staffing, they have implemented incentives for picking up shifts. These incentives involve increased PTO, as well as hourly rates. With more staff willing to work, this allows for better ratios among staff. One downfall that can occur with this is nursing burnout. My healthcare system has added increased areas throughout the hospital for breaks that allow staff to “step away” from everyday stressors and practice techniques related to deep breathing and self-awareness to calm themselves. Healthcare stressors can contribute to even greater exacerbations related to SDOH. To combat this, it is vital for healthcare workers, leadership, and our communities to intervene and make changes in policies and procedures to promote better healthcare for all.

Hello how are you I need help with my blog I have uploaded the screenshots. Than

Hello how are you I need help with my blog I have uploaded the screenshots. Thank you have a good one.

– the picture attached is the assignment and its instruction – the data are in t

– the picture attached is the assignment and its instruction – the data are in the excel sheet attached

Discuss motivating operations, and make sure to reference the article assigned f

Discuss motivating operations, and make sure to reference the article assigned for this week (Langthorne &McGill, 2009). Describe in your own words what this term means to you. Discuss how motivating operations affect our daily behavior and that of the individuals we serve. How much weight have you put on motivating operations when providing clinical services? Can you think of a situation where the treatment plan was largely changed after an MO was considered?

this Assignment is for a white paper on the state and future of an EMS agency ba

this Assignment is for a white paper on the state and future of an EMS agency based on an interview conducted with a member of management from that agency, and a PowerPoint summarizing the paper. I’ve already conducted the interview and will be attaching a transcriipt, the questions asked, a recording of, and copy of assignment. If you I need to add more pages to the order for the paper or the powerpoint to get enough info in just let me know. and if you have any questions I’m happy to answer.
The interview was with the EMS Director of Sinor EMS in Clinton Oklahoma, Michelle Addington.
Sinor is a small rural private ambulance company serving the needs of multiple towns in the area.