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Explain the relationship between the project management concepts

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1. nursing practice.
Advanced nursing practice duties include proficiency in clinical knowledge and skills, interpersonal and communication skills, business and financial management skills, and leadership qualities.
Project management principles may be applied to advanced nursing practice positions, such as planning and coordinating the provision of care, developing and implementing quality improvement initiatives, and overseeing and managing care team members.
3. You can use the steps and techniques that Rew et al. (2020) used to conduct nursing research to write a dissertation or DNP doctorate project.
4. The best guidance for writing a DNP doctorate project or dissertation will come from the processes and techniques unique to the project’s or dissertation’s subject area.
5. A nurse leader’s project management skills may serve as a guide for nursing practice or research. There are several approaches to support a DNP doctoral thesis or dissertation, including planning and conducting research studies, evaluating the effectiveness of care delivery models, and creating and implementing training programs for nurses and other medical professionals.
Explain the relationship between the project management concepts you have learned so far in this course and this advanced nursing practice job. Provide specifics.
Advanced practice nursing professions require a high level of competency in multiple areas. These include the following: clinical knowledge and skills, business and financial management, interpersonal and communication skills, and leadership ability. In addition, advanced nursing practice roles often need nurses to be self-sufficient, meticulous, organized, and tech-savvy. The use of project management principles learned in this course can be advantageous to the advanced nursing practice role in several ways. For example, the planning and coordinating of care delivery, the creation and implementation of quality improvement projects, and the management and supervision of the care team members can all be done using project management principles. In addition, research projects, evaluations of the effectiveness of alternative care delivery models, and nurse and other medical professional training programs can all be planned and executed using project management concepts.
In light of the techniques and strategies utilized by Rew et al. (2020) and the resources accessible regarding nursing research methodologies and tools, how would you implement these concepts and a similar methodology to complete your DNP doctoral project or dissertation?
Completing a DNP doctoral project or dissertation depends in large part on your capacity to oversee the objectives process. To create a DNP doctoral project or dissertation, one might follow the same steps and techniques that Rew et al. (2020) used for nursing research. Steps including formulating a research question, doing a literature review, and organizing and conducting a study can be taken when drafting a DNP doctoral project or dissertation. In addition, the nursing research techniques and tools listed in the Rew et al. (2020) article can be used to organize and execute a DNP doctoral thesis or dissertation. DNP doctorate projects or dissertations can be finished in the same way by following the procedures and tactics employed by Rew et al. (2020). One of these steps and processes, along with objectives and due dates, is budget creation. Ensuring that the project is finished accurately and satisfies the needs of the nursing staff and patients falls under the purview of the advanced nursing practice function. A DNP dissertation or project must have a budget to be completed successfully. This procedure will guarantee that the project is finished on time and within the allocated budget. The project’s goals must also be fulfilled to guarantee that patients and medical staff will be satisfied with the final product. Completing a research project or doctorate dissertation for a DNP necessitates following the deadline procedure. This procedure will guarantee that the project is finished on time and within the allocated budget. The project’s goals must also be fulfilled to guarantee that patients and medical staff will be satisfied with the final product.
The ability to manage the objectives process is a critical component in completing a dissertation or DNP doctorate project. By doing these steps, one can ensure that the project will be effectively finished and that the needs of the patients and nursing staff will be satisfied.
Explain the steps and techniques you believe will provide you with the best guidance as you organize and work on your DNP dissertation or project. Provide examples and details. Next, describe in your DNP doctoral project or dissertation how you want to support nursing practice or research using the project management skills you will learn as a nurse leader.
When writing a DNP doctoral project or dissertation, the techniques and procedures that are specific to the topic field will provide the most guidance. Developing and implementing an assessment plan would be crucial if the DNP doctorate project or dissertation centers on evaluating an innovative care delivery paradigm. In particular, developing and implementing an educational program would be relevant if the doctoral thesis or dissertation for DNP focused on developing a new curriculum for nursing training. Project management skills learned by a nurse leader can be applied in a variety of ways to support nursing practice or research for a DNP doctoral project or dissertation. Using project management techniques, nurse leaders, for example, can plan and execute research projects, evaluate the effectiveness of care delivery models, and develop and implement training programs for nurses and other medical professionals. Furthermore, nurse leaders can use project management approaches to complete quality improvement projects, schedule and coordinate care team members, and manage and coordinate care delivery. Completing a research project or doctorate dissertation for a DNP necessitates following the deadline procedure. This procedure will guarantee that the project is finished on time and within the allocated budget. Achieving the project’s goals is also essential to guarantee that patients and medical staff will be satisfied with the final result. 
2.
After reviewing Rew et al. (2020), the article highlights key aspects in project management processes and techniques useful in planning and developing one’s DNP doctoral project or Dissertation. Notably, it highlights the challenges that researchers face when trying to apply the extensive training they receive in PhD programs to real-world scenarios. The complexities of managing multiple study plans, navigating unexpected obstacles, and capitalizing on emerging opportunities can be daunting. However, the conceptual phase of project management is a crucial concept that researchers acquire during their training, which equips them with the skills required to formulate research questions, review literature, and develop theoretical frameworks. The subsequent phases of design and planning, empirical data collection, statistical analysis, interpretation, and dissemination of findings are equally important. Mastering these phases enables researchers, especially lead researchers, to acquire the skills needed for future endeavors. Therefore, it is crucial for researchers to invest time and effort into mastering all phases of the research process to ensure that their work is both effective and impactful.
Nurse Practitioners (NPs) are an indispensable part of the healthcare system. They provide primary and acute care in various healthcare settings, and their competencies are diverse. From conducting comprehensive assessments and physical examinations to diagnosing and treating common illnesses and managing chronic conditions, these practitioners are fully equipped to handle nearly any healthcare challenge. However, to truly excel, they must possess scientific foundation competence, which enables them to analyze and utilize data efficiently to assess, enhance, and improve healthcare delivery (National Organization of Nurse Practitioner Faculties emphasized, 2017). Additionally, leadership competencies are crucial for NPs to lead healthcare teams effectively. With their broad range of skills, NPs  are an invaluable asset to any healthcare organization.
The approach presented by Rew et al. (2020) and Sipes (2019) is a valuable method for conducting research in real-world settings. Even when applied on a smaller scale, it is essential for the completion of Doctor of Nursing Practice (DNP) doctoral projects. The systematic research approach increases the likelihood of success. For instance, the five-phase method outlined by Rew et al. (2020) encourages the creation of the entire project plan before initiating the research, which aids in identifying potential challenges and preventing the pursuit of unsuccessful projects. The initial and second phases of project management, as outlined by Rew et al. (2020), are particularly influential in the development of DNP doctoral projects. It is important to note that not all clinical concerns necessitate research due to limited resources and clinical priorities. The first phase guides the formulation of relevant research questions and aims to determine the clinical significance of the findings. It assists in conceptualizing the entire project and identifying challenges early on to avoid embarking on an unsuccessful project.
In parallel, advanced practice nurses are often considered “managers” in the patient care process. Similarly, as nurse leaders in research, applying project management concepts helps in determining and achieving specific research outcomes. The five basic principles of project management align with the five steps of the nursing process. Competence as a nurse leader in the nursing process translates into the ability to conduct projects effectively (Sipes, 2019).
In conclusion, the translation of research training into practical applications is a challenge, and understanding the phases of project management is vital for successful research endeavors. Whether in academia or advanced practice roles, these concepts contribute to effective project planning, execution, and dissemination of findings, fostering a systematic and comprehensive approach to research in both academic and real-world settings.

Develop five targeted questions you would ask the patient to build their health history and to assess their health risks. 

 Resouces to use:
Note: These readings are intended to serve as supplementary to the Lecturio content and required textbook readings provided in this course. Please refer/review these supplementary resources should you need help in reinforcing concepts and in preparation for completing this week’s Assessments. 
National Prevention Information Network. (2021, September 10). Cultural competence in health and human servicesLinks to an external site.. Centers for Disease Control and Prevention. https://npin.cdc.gov/pages/cultural-competence 
This website discusses cultural competence as defined by the National Prevention Information Network at the Centers for Disease Control and Prevention (CDC). Understanding the difference between cultural competence, awareness, and sensitivity can be obtained on this website. 
U.S. Department of Human & Health Services Office of Minority Health. (n.d.). A physician’s practical guide to culturally competent careLinks to an external site.. https://cccm.thinkculturalhealth.hhs.gov/ 
From the Office of Minority Health, this website offers CME and CEU credit and equips healthcare professionals with awareness, knowledge, and skills to better treat the increasingly diverse U.S. population they serve. 
Coleman, D. E. (2019). Evidence based nursing practice: The challenges of health care and cultural diversityLinks to an external site.. Journal of Hospital Librarianship, 19(4), 330–338. https://doi.org/10.1080/15323269.2019.1661734 
Pirhofer, J., Bükki, J., Vaismoradi, M., Glarcher, M., & Paal, P. (2022). A qualitative exploration of cultural safely in nursing from the perspectives of advanced practice nurses: Meaning, barriers, and prospectsLinks to an external site.. BMC Nursing, 21, 178. https://doi.org/10.1186/s12912-022-00960-9 
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2023). Seidel’s guide to physical examination: An interprofessional approach (10th ed.). Elsevier Mosby. 

Chapter 1, “Cultural Competency” 
This chapter highlights the importance of cultural awareness when conducting health assessments. The authors explore the impact of culture on health beliefs and practices. 

Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). Elsevier Mosby. 
Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th edition by Dains, J. E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center. 

Chapter 2, “Evidenced-Based Clinical Practice Guidelines Download Evidenced-Based Clinical Practice Guidelines”

i-Human Patients. (2023). i-Human Patients case player: Student manual Download  i-Human Patients case player: Student manual. I-Human Patients by Kaplan.  
Note: This link provides a PDF download for this manual.
 
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2023). Seidel’s guide to physical examination: An interprofessional approach (10th ed.). Elsevier Mosby. 

Chapter 1, “Cultural Competency” 
This chapter highlights the importance of cultural awareness when conducting health assessments. The authors explore the impact of culture on health beliefs and practices. 

Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). Elsevier Mosby. 
Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th edition by Dains, J. E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center. 

Chapter 2, “Evidenced-Based Clinical Practice Guidelines Download Evidenced-Based Clinical Practice Guidelines”

i-Human Patients. (2023). i-Human Patients case player: Student manual Download  i-Human Patients case player: Student manual. I-Human Patients by Kaplan.  
Note: This link provides a PDF download for this manua
 
To prepare:
Reflect on your experience as an advanced practice nurse and on the information provided in the Week 1 Learning Resources on building a health history and the Week 2 Learning Resources on diversity issues in health assessments. 
By Day 1 of this week, your Instructor will assign a case study for this Assignment. Note: Please see the Course Announcements section of the classroom for your Case Study Assignment. 
Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of your assigned patient. 
Consider how you would build a health history for the patient. What questions would you ask? How might you target your questions based on the patient’s social determinants of health? How would you frame the questions to be sensitive to the patient’s background, lifestyle, and culture? 
Identify any potential health-related risks, based on the patient’s age, gender, ethnicity, or environmental setting, which should be taken into consideration. 
What risk assessment instruments would be appropriate to use with this patient? 
What questions would you ask to assess the patient’s health risks?  
Select one (1) risk assessment instrument discussed in the Learning Resources, or another tool with which you are familiar, related to your selected patient. 
Develop five (5) targeted questions you would ask the patient to build their health history and to assess their health risks. 
Think about the challenges associated with communicating with patients from a variety of specific populations. What communication techniques would be most appropriate to use with this patient? What strategies can you as an APRN employ to be sensitive to different cultural factors while gathering the pertinent information?
 
For your assignment 1 you will work on this case: 
46 y/o African American male who recently was seen in the Emergency Department for
alcoholic withdrawal seizures and released. Referred to clinic for follow up on his hypertension
history. He ran out of the Norvasc prescription given by the Emergency Department. He is living
in a homeless shelter now. He states not drinking anymore but needs to smoke cigarettes to
calm down and function. 

Describe the roles and responsibilities of the APRN when prescribing medication.

 
Describe the roles and responsibilities of the APRN when prescribing medication.
Describe the method used to determine what drug therapy to prescribe?
Discuss responsibilities for patient education and teaching based on the prescribed therapy. 
Discuss Schedule drugs and prescribing restrictions for each scheduled drug. 
 
Your initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources.

Each question must be answered individually – 
Example: Question 1, followed by the answer to question 1; Question 2, followed by the answer to question 2; and so forth. 

Define sepsis.In your own words, explain septic shock?

 INSTRUCTIONS: There are 13-questions in this case study. You must respond to
all questions to receive credit.
ALL answers need to be supported by information from the scenario AND/OR
textbook AND/OR scholarly sources. Simple “yes” or “no” response is not
adequate.
For example, Question #6, the response requires more than just “yes” or “no”.
You must explain/support your response. What assessment data leads you to the
conclusion whether the pt. is or is not improving?
Scenario: Marie is a 27 year old female who is homeless. She arrives at the
emergency department with complaints pain in her left foot. After an
assessment you discover that she has an open wound on the bottom of her
left foot that is red, swollen, and draining green fluid. Cellulitis is present
up the leg to the knee. She states she has no chronic medical illnesses and
doesn’t take any medication. She is alert and oriented to person, place and
time. Her vitals are BP: 100/78 (her normal is 120/80), Heart Rate 100,
Temperature 100.5, Pulse Ox 98%, respiratory rate is 22.
1. What condition are you suspecting?
2. Does she have at least 2 criteria for Systemic Inflammatory Response
Syndrome? If so, list the criteria.
3. What are your next steps?
4. What medication do you expect to be given, if any?
5. What labs do you expect the doctor to order?
Abnormal lab results come back as:
Lactate: 4.2
WBC: 15,000
HCT: 42
After fluids were given the vitals were rechecked: BP 88/67, HR114, RR 28,
and Temperature 101.5. She states she feels chills. Patient appears pale.
6. Is she improving?
7. What do you expect the licensed practitioner to order?
The patient arrives to the intensive care unit and is monitored. Fluids and the
IV antibiotics continue. Approximately 4 hours after the initial lactate results
were completed, they drew another lactate blood sample. The results were
now 2.4. The patient remains in the ICU for 2days until she is transferred to
the medical surgical floor for monitoring.
8. If she was not improving, what would she be at risk for?
ADDITIONAL QUESTIONS (response to all is required):
9. What makes a person high risk for infection?
10. Define sepsis
11. In your own words, explain septic shock?
12. In your own words, explain the pathophysiology of Septic shock:
13. Give 2 examples of medications that can be used to treat Sepsis:
 

Explain how a nurse might provide culturally congruent care by been culturally competent

Culture, ethnicity, social, and gender differences
This college promote our nursing students to develop cultural competence that enables them to deliver healthcare to diverse populations. These experiences empower nursing graduates to meet people where they are at, honoring their cultural beliefs and providing equitable care. By fostering cultural connections within our communities, community colleges and the associate degree nursing pathway contribute to the growth of graduates who are not only skilled healthcare professionals but also compassionate global citizens.
Nurses are responsible for creating a nonjudgmental, welcoming environment for all patients. Still, transgender and gender-nonconforming patients continue to face healthcare prejudices and feel unwelcome in healthcare environments. To provide gender-affirming holistic nursing care requires a paradigm shift from a gender-binary to a gender-inclusive world view with continual ongoing self-assessment for bias. Nurses must learn more about gender transition and gender-affirming care to engage in therapeutic gender-affirming care.
Assignment Instructions 
Create a Power Point describing concepts of diversity, equity, inclusion and/or social determinants of health. Explain how a nurse might provide culturally congruent care by been culturally competent, having culture sensitivity, cultural knowledge, and using cultural assessment. Mention the Relationship between Nursing culturally congruent care and community engagement. How a nurse could affirm gender identity in nursing care: benefits, barriers, and best practices. The student will create a power point with a minimum of 3 slides for issues objective criteria, for a total of minimum 12 slides (Content slides, no including pictures, introduction, or references). All slides must include citations of reference used. Remember references should be from 5 years or less. The Power Point should include key elements identified to substantiate your presentation and provide appropriate references.
This assignment will count as an additional 5 % toward your final course score. The  rubric will describe the evaluation method and score based on major concepts related to Culture, ethnicity, social, and gender differences.
1. Concepts of diversity, equity, inclusion and/or social determinants of health
2. Culturally Congruent Care in Nursing: cultural competence, culture sensitivity, cultural knowledge, and cultural assessment
3. Relationship between Nursing Culturally Congruent Care and Community Engagement
4. Affirming Gender Identity in Nursing Care: Benefits, Barriers, and Best Practices
Course Student Learning Outcome Address (CSLOs)
# 4. Identify therapies and treatments available to various patient populations with mental illness across the life span.
End of Program Student Learning Outcomes Address (EOPSLOs)
# 2. Provide nursing care that incorporates the knowledge of expected growth and development principles, culture and spirituality, prevention and/or early detection of health problems, and strategies to achieve optimal health.
ELA: 70% of the students will achieve a grade of 80% or higher

Identify a nursing scholar within your specialty area and identify their clinical topic/problem of interest

As change agents, Doctors of Nursing Practice identify clinical problems within the context of a population of interest. Your clinical problem of interest and identified population may lead to your establishing a program of research over the course of your career.
Your clinical problem could be a disorder or condition (e.g., HIV/AIDS, hypertension, depression, chronic illness, adolescent pregnancy) or a psychosocial or physiological characteristic (e.g., social support, health related quality of life, resilience, family communication patterns, mother-infant attachment, self-esteem).  
Your target population could be a cultural group (e.g., Hispanic elders, African American women), a diverse group (e.g., urban/rural Cuban Americans, low income women), or a vulnerable group (e.g., incarcerated adolescents, sex workers, IV drug abusers, severely mentally ill adults).
Identify a nursing scholar within your specialty area and identify their clinical topic/problem of interest and population of interest. (Use references). they have identified relative to the problem.
Identify the conceptual framework or theory that has guided the nursing scholar’s research of this clinical problem and evaluate the relevance of the theory in their work.
Identify your own clinical problem and population of interest with discussion of the significance of this problem. (Use references).
Identify a conceptual framework or theory that you believe would guide your research of this clinical problem and evaluate the relevance of this theory for your work. (Use references).
AMA format 
minimun 3 references 

Identify the various knowledge bases that you draw upon from the physical,emotional,spiritual, cultural and social sciences in the care of Mrs. Mendez and her family.

As an advanced practice nurse, identify the various knowledge bases that you draw upon from the physical, emotional, spiritual, cultural, and social sciences in the care of Mrs. Mendez and her family.
For example, Which science bases tells you about how cancer develops; which science bases tells you about pain and pain management; which science bases tell you about grief and loss or emotional states; which science bases help you understand the importance of spiritual assessment and care; which science bases help you to assess and intervene with the family both as individuals at their own developmental age and the family as a system; which sciences bases help you understand the cultural perspectives?
Make a list of key concepts relevant to the case study. 

Identify Physical
Emotional
Social or Spiritual Concepts related to Mrs. Mendez as well as Various Family Members 

Identify from the middle range theories presented in your textbooks, one interprofessional or middle range theories associated with your concepts of interest, and give a rationale for its selection.

Give Information about the Theory selected as you Discuss the Rationale for Selection. 

Discuss how the selected theory guides both your clinical assessments and interventions for Mrs. Mendez or her family.

Make sure you discuss how it Influences your Assessment Questions and then Discuss how it Influences your Selection of Interventions for Mrs. Mendez and her Family Members. 

Explain how knowledge from interprofessional health-related sciences informs advanced nursing practice.

Provide References for this Question. 

Out-line a Community Health Plan and Health Education Lesson Plan for his/her community and implement this in his/her community.

After you have completed the goal and objectives for the teaching project. The next step is to out-line a Community Health Plan and Health Education Lesson Plan for his/her community and implement this in his/her community. See an example attached (please note this sample is missing the cover page and reference page). Sample Community Health Project Outline.docx
 Community Health Teaching Project Outline
Answer all items below:

Assessment: Assess a targeted population in your community to see what needs to exist. This is done by researching health data for your population. Make sure you select and define your community by noting the history of your community.
Capture a picture of your selected community. What are the vital statistics of your community? Think about socioeconomic statistics. What illnesses or diseases are present in your community? Do citizens in your community have easy access to primary care? What are the most prevalent health problems in your community?
Formulate a community health nursing diagnosis related to this health need, based on this data, what are the strengths and needs of your community?
Plan community intervention. Ask yourself if this will have a positive health impact in the designated population? How do you know?
Propose an educational presentation that will address the most important needs of your population. The presentation must be arranged with your instructor. The instructor will attend your presentation virtually or in person.
Propose an Evaluation Plan: How would you evaluate your intervention?

 Examples for the project: Health screening, health education, getting a sidewalk or gym or rec. center built, provide car seats for children in poverty areas, design and after-school-program for at risk students, provide training to inmates or correctional facility staff on infection control, organize a home visitation for at-risk teen moms, teaching nutritional cooking to moms receiving WIC, intervene in a communicable disease outbreak situation, develop a disaster plan, STD/HIV reduction rate program in a specific population, increase immunization rates in school-age children, Safety (texting while driving)(car seats)(firearm)(summer), depression screening of college students, assessing client satisfaction with public health services, obesity prevention, nutrition programs, physical fitness programs, marketing prenatal care, CHIP (community health improvement plan), teaching parents alternative discipline methods, tobacco cessation, etc.

The Hospital Consumer Assessment of Healthcare Providers and Systems as an example of applying statistics in the real world

REPLIES 1
 
I have chosen the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) as an example of applying statistics in the real world, specifically in patients’ satisfaction during hospitalization. Per Centers for Medicare and Medicaid Services (CMS), HCAHPS is defined as a survey instrument utilizing collected data to measure patients’ satisfaction under different categories such as,
Did providers (doctors and nurses) treat you courteously and respectfully?
Did providers listen carefully to you?
Did providers explain things in a language you can easily understand?
How often was your room and bathroom cleaned?
Did providers explain new medications to you?
HCAHPS survey utilizes a random sample of recently discharged patients (48 hours and six weeks after discharge) by asking twenty-nine questions regarding their recent hospitalization. Patients who are ineligible for this survey are those under eighteen, patients admitted with behavioral health issues and hospice patients. Each hospital will then get a score according to the patient’s responses. Depending on their score, a hospital can get monetary rewards through the Value-Based Purchasing (VBP) Program. Per CMS, VBP provides acute care hospitals with incentive payments for patient care quality.
HCAHPS survey is an example of random sampling (recently discharged patients) with variables under numerical (48 hours and six weeks after discharge) and categorical (29 questions). This survey also displays a positive correlation between high scores and monetary rewards
REPLIES 2
 Statistics in the real world are essential in the healthcare field. Real-world data collected during daily healthcare practices are increasingly used in medical research to assess questions that cannot be addressed in the context of a randomized controlled trial (Mental, Ali, 2023). Studies where the researchers assign treatments to cases are called experiments. When this assignment includes randomization, e.g. using a coin flip to decide which treatment a patient receives, it is called a randomized experiment. Randomized experiments are fundamentally important when trying to show a causal connection between two variables (Diez, 2019). These experiments are necessary in healthcare for researchers to evaluate the effectiveness in treatments. Statistics gives researchers a better understanding of how and what treatments are working for specific diseases and medications.  

You have been asked to present your plan for the proposed health care facility to the Board of Directors. Based on your previous assignments, you are to develop a proposal 

 This assignment has two parts:
Plan for your proposed healthcare facility
Reflection on what you have accomplished in completing your course of student by your work in this capstone course and what skills you will continue to develop and improve on as you begin or advance in your career in healthcare management.
Part 1: Plan for proposed healthcare facility
You have been asked to present your plan for the proposed health care facility to the Board of Directors. Based on your previous assignments, you are to develop a proposal 
The type of health care facility (Week 1)

Discuss the type of facility that you are recommending and the rationale behind your recommendation. For example, if you chose an ambulatory care facility, explain the reasons why this type of facility would be recommended over another type.
Discuss the type of health care delivery and services that are provided at the facility.
Discuss the type of staff that will work in the facility. Specify the position categories and/or titles for these positions and include what are the credentials or licensures required by these positions in the state in which you live where you proposed facility would be located.

Financing the organization (Week 2)

Discuss the method(s) of reimbursement that you believe will work best for the health care facility that you have proposed to be developed, and explain why you chose that method.
Discuss the pros and cons of the reimbursement method(s) you chose.
Discuss the impact that the method(s) may have on the financial operations of the facility that you chose.

Medical technology (Week 3)

Discuss the financial and health benefits that can be realized by implementing an electronic health record (EHR).
Discuss the estimated cost of implementing an EHR and the estimated cost of managing an EHR over the long run.
Discuss current security concerns surrounding health information technology (HIT) and the EHR.
Discuss how electronic health records can be used for decision-making and problem-solving.
Choose 1 piece of federal legislation, e.g., HIPAA, HITECH Act, Meaningful Use), and discuss the requirements that legislation imposes on the use of HIT and the EHR.

Ethical and legal considerations (Week 4)

Discuss an accrediting body that will provide accreditation to the facility you are proposing.
Discuss the ethical or legal requirements and responsibilities that a health care organization has in ensuring that its facility is licensed, certified, and accredited. When discussing licensure requirements, ensure that you research requirements based on the state in which you reside.
When discussing licensure requirements, ensure that you research requirements based on the state in which you reside.

Quality measures (Week 5) (This will be a new section as part of your project)

Research and describe at least 2 measures that you plan to use in your facility that are currently used to gauge quality in health care.
Identify how data for these measures will be collected and analyzed.
Set realistic benchmarks for each proposed measurement, and explain the rationale behind the benchmarks that you set.

Note: You should include a minimum of 3 references with the new content for Week 5 combined with the references used for the work done in Units 1-4.
Part 2: Reflection on what you have learned and what you will work on to continue to develop as a healthcare management professional. Write a 1 page reflection on the following:
As you complete the course and your degree program and look forward to advancing your career in healthcare management, what are the skills and competencies that you feel you have developed and what are the ones that you will need to continue to work on? How do you plan to improve upon your skills and continue to develop competencies in healthcare management?
The American College of Healthcare Management provides resources related to the competencies that healthcare management professionals should possess. Refer to this document for a list of healthcare management competencies.