Archive for January 15th, 2020

Community health assessment / Windshield Survey

Community Health Assessment / Windshield Survey

Community Assessment

A community health assessment (sometimes called a CHA), also known as community health needs assessment (sometimes called a CHNA), refers to a state, tribal, local, or territorial health assessment that identifies key health needs and issues through systematic, comprehensive data collection and analysis. Community health assessments use such principles as

  • Multisector collaborations that support shared ownership of all phases of community health improvement, including assessment, planning, investment, implementation, and evaluation
  • Proactive, broad, and diverse community engagement to improve results
  • A definition of community that encompasses both a significant enough area to allow for population-wide interventions and measurable results, and includes a targeted focus to address disparities among subpopulations
  • Maximum transparency to improve community engagement and accountability
  • Use of evidence-based interventions and encouragement of innovative practices with a thorough evaluation
  • Evaluation to inform a continuous improvement process
  • Use of the highest quality data pooled from and shared among, diverse public and private sources

           (Retrieved from https://www.cdc.gov/publichealthgateway/cha/plan.html)

Windshield Survey:

“A  windshield survey is an informal method used by community health nurses to obtain basic knowledge about a given community. It provides a subjective view of the various physical characteristics of a communal area as observed while driving or walking through a neighborhood.

.”(Retrieved from; 

mynursingprofessionalportfolio.weebly.com/uploads/8/9/3/3/8933086/windshieldsurvey.docx).”

As stated in the syllabus please present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion board title  “Week 1 discussion questions”.  A minimum of 2 evidence-based references is required (not counting the class textbook) no older than 5 years. A minimum of 1000 words are required.  Make sure the assessment is based in the community where you live.  I don’t want community health assessment from other communities, once again it must be from the community you live.  Please mention the zip code of your community on the first page of the assignment.

Please follow the instructions given in the syllabus  Discussion Question (DQ) Participation Guidelines” and “Discussion Question (DQ) Submission Guidelines.  

Respectfully;

Prof. Cruz

Competence and Accountability

Human service professionals are expected to meet and maintain certain standards of competence in the profession, often measured by education, training, supervision, and experience. After completing your Reading for this week, please respond to the following questions:

In your own words, create a definition of competence in the field of human services.

Use the Internet and the Library to investigate the minimum standards of competence for human service professionals in your state. Describe these requirements.

Consider the Case Example of Rasheed (ATTACHED) regarding multicultural competencies. Imagine you are a caseworker at a human service agency working with Steve. What is your reaction to this case? Does it raise personal issues for you? If you were in Rasheeds position, would you feel competent to work with Steve? What if Steve discovered that he harbored negative attitudes toward African Americans? Would that make a difference in your response to this scenario?

TEXT: Sommers-Flanagan, R., Sommers-Flanagan, J.(2015). Becoming an Ethical Helping Professional: Cultural and Philosophical Foundations, with Video Resource Center.

Statistics – Outliers

For this discussion, you will assess the use of various support decision tools and explain why outliers are sometimes called influential observations. Discuss what could happen to the slope of a regression of Y versus a single X when an outlier is included versus when it is not included. Will this necessarily happen when a point is an outlier? You are required to give at least two examples in your response.

Discussion: Nurses Make the Difference

Post a 2-paragraph response (of at least 350 words)

Provide an overview of a Magnet facility. Include an explanation of how Magnet status drives health care change in the institution. Develop and post cohesive paragraphs and use evidence to support your ideas. The practice of writing cohesive paragraphs is essential to good writing. Focus each paragraph on one main idea or goal.

APA style Refrences and citation

homework

What different assumptions about the nature and purpose of religion do you see in the conflict over Mount Graham? Consider the perspectives put forward by members of the Western Apache community, and by representatives of the Roman Catholic Church. In your article, be sure to bring the article “Mount Graham: Science and Apache Religion” into conversation with at least one other reading or video from this module. (important at least one )

Read :http://nativeamericannetroots.net/diary/471

watch 1- :https://player.mediaamp.io/p/U8-EDC/qQivF4esrENw/embed/select/media/2zVLQF7ipVpd?form=html

2- https://player.mediaamp.io/p/U8-EDC/qQivF4esrENw/embed/select/media/zomzum7cgIY2?form=html

Grades will be based on:

-Depth of engagement with class materials (7/10 points)

-Writing quality (proper spelling, grammar, punctuation) (3/10 points)

Note: Please try to keep your responses down to the 200-word mark. While we will not necessarily take off points for posts that go OVER that length, the highest scores will be given to posts that demonstrate strong analytical depth while remaining close to the suggested word limit. 

Read requirements 

White-Collar Crimes in Sales-Related Occupations and the Healthcare System

Can it be categorized?  

Can It Be Categorized?

In a 1-2 page paper, choose one of the fraud categories discussed in Chapter 3 and 4. With the opportunity perspective in mind, describe the objectives which act as motivators for this crime.  Chapter 3

 

Chapter Three Summary

  • To introduce students to the nature of crime in lower-class occupations, in this chapter, attention was given to the crimes occurring in the following systems: (1) employee theft in the retail system, (2) crimes in the entertainment service system, (3) fraud in the sales/ service system, and (4) insurance system.
  • Several different varieties of employee theft in retail settings occur. Here are some examples: overcharging, shortchanging, coupon stuffing, credits for nonexistent returns, theft of production supplies and raw materials, embezzlement, over-ordering supplies, theft of credit card information, theft of goods, theft of money from the cash register, and sweetheart deals.
  • Employee theft prevention strategies include (a) importation strategies, (b) internal strategies, (c) technological strategies, (d) (c) technological strategies, (d) organizational culture strategies, and (e) awareness strategies.
  • In considering crimes in the restaurant industry, two broad categories can be highlighted: crimes by the restaurant against consumers and crimes by workers against the restaurant.
  • The most common types of home repair fraud are believed to be roof repair, asphalt paving or driveway sealing fraud, house painting fraud, termite and pest control fraud, and tree pruning and landscaping fraud.
  • Auto repair fraud includes billing for services not provided, unnecessary repairs, airbag fraud, and insurance fraud.
  • Insurance crimes are rarely studied for two reasons: (1) They are hard to understand, and (2) people dont typically know when they have been victimized by insurance crimes (Ericson & Doyle, 2006).
  • Four different categories of insurance crimes by workers in the insurance system exist: (1) crimes by agents against the insurance company, (2) investment-focused crimes, (3) theft crimes against consumers, and (4) sales-directed crimes against consumers.
  • Estimates suggest that insurance fraud collectively raises the yearly cost of premiums by $ 300 for the average household (FBI, 2010b).
  •  For individuals victimized by these offenses, the consequences of insurance crimes can be particularly devastating.
  • Industry insiders attribute the insurance offenses to either rotten apple explanations or they engage in victim blaming (Ericson & Doyle, 2006).
  • Ericson and Doyle (2006) point out that insurance crimes are institutionalized in the industry by the practices and strategies encouraged among insurance employees.

References

Payne, B. K. (2013). White-collar crime: The essentials. Thousand Oaks, CA: SAGE Publications.

copyright Chapter 4                    

Chapter Four Summary

  • In general, categories of crimes committed by health care providers include fraud by doctors, fraud by pharmacists, drug use, unnecessary surgery, medication errors, sexual abuse, elder abuse, home health care fraud, and medical malpractice.
  • Sutherland implied that doctors were unlikely to engage in white-collar crime, and as a result, Sutherland gave only scant attention to doctors [and] maintained that physicians were probably more honest than other professionals (Wilson et al., 1986).
  • The most pervasive form of fraud committed by doctors entails the commission of Medicare and Medicaid fraud and abuse.
  • Fraud refers to intentionally criminal behaviors by physicians, whereas abuse focuses on unintentional misuse of program funds.
  • Several specific forms of fraud and abuse exist, including phantom treatment, substitute providers, upcoding, provision of unnecessary services, misrepresenting services, falsifying records, overcharging patients, unbundling, pingponging, ganging, kickbacks, co-pay waivers, and medical snowballing.
  • Briefly, mental health professionals often bill for time, whereas other professionals bill for more complicated medical procedures. For investigators, it is much easier to prove time violations than treatment violations.
  • Research shows that when females are accused of health care fraud, they tend to be accused along with other providers more than male offenders are (Payne, 1995). Explanations for fraud have focused on structural explanations, socialization factors, and enforcement dynamics.
  • It is estimated that 7.5 million unnecessary surgeries and medical procedures occur annually, and 12,000 Americans are killed each year from these unnecessary surgeries (Black, 2005).
  • At least six overlapping reasons help explain the pervasiveness of unnecessary surgeries: differing opinions, stigma, trust of health care, lack of trust of insurance companies, medicalized socialization, and conflict explanations.
  • Many severe consequences may arise from unnecessary surgeries.
  • Medication errors occur when health care providers deliver or prescribe the wrong medications to patients.
  • Public Citizen has identified 16 varieties of misconduct by physicians. The group believes that variations in sanctions for violations across states can be attributed to differences in the way state medical boards sanction offenders.
  • Eight types of prescription fraud are generic drug substitution, overbilling, double billing, billing for nonexistent prescriptions, short counting, mislabeling, delivery of a controlled substance, and illegally buying prescriptions.
  • The following types of elder abuse can be seen as white-collar crimes: (1) elder physical abuse, (2) elder financial abuse, (3) elder neglect, (4) elder sexual abuse, and (5) failure to report crimes.
  • Types of home health care fraud include providing unnecessary services, billing the system for services that were not provided to the client, overcharging, forgery, negative charting, substitute workers, double billing, and kickbacks.
  • Medical malpractice refers to situations where health care providers perform negligent care and/ or injure patients. Patients can seek recourse by filing medical malpractice insurance claims against the providers insurance company or by filing a lawsuit against the provider.

References

Payne, B. K. (2013). White-collar crime: The essentials. Thousand Oaks, CA: SAGE Publications.

     

Optometry Practice

Strategic planning within organizations provides a plethora of benefits to the organization, including meeting goals specified in the plan and contributing to the long-term success of an organization. Corporate-level strategy is informed through an organizations mission and vision statement. Portfolio management is driven by the mission, vision, and corporate-level strategy, and implemented at the Strategic Business Unit level. SBU-level strategies seek to develop resources and competencies. SBUs also have mission and vision statements to set the strategic direction of the entire unit. The strategic direction of the SBU is related to corporate-level strategy. The functional area may include the following, but possibly on a smaller scale: clinical operations (for example, within this area you could have radiology), marketing and promotion, human resources, information and clinical technologies, and finance department. Within the SBUs, these functional areas also have strategies.
Search for a strategic plan in a health care organization. After reviewing the strategic plan, select a business function or department within the selected health care organization to develop a business plan. The goal of the business plan is to help the organization implement the organizational mission and vision through setting a specific, measurable goal. Alignment between the organizational strategic plan and a business plan is key to successful implementation. The purpose of any department is to achieve the organizational mission and carry out various strategic initiatives that meet the mission and vision. In other words, the business plan intends to make the organization better in the specific direction the company wants to move in.
For this assignment, select either your own health care organization or one you know enough about to complete a business plan.

ASSIGNMENT :Please do a :
SWOT Analysis on a OPTOMETRY Practice
A SWOT analysis is part of strategy formulation that leads to goal setting and then progresses to the development of a business plan.
Complete a SWOT analysis using the “SWOT Analysis” template. Using the SWOT analysis results, develop at least one strategic goal. Submit both the completed SWOT analysis document and the strategic goal. Be sure to cite two or three sources.
While APA format is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide
SWOT anaylsis template is provided in uploaded material

Any topic (writer’s choice)

1. Now that digital publishing is so accessible to everyone, how should a publishing business respond? Are there ways that existing publishing houses can take advantage of the easy access readers have to publish extensions of stories? What about in the fields of video or musichow might a business encourage the involvement of the fan base of a movie or a band by using the media-creation tools available? (Chapter 8)

2. After reading Chapter 9, you know you should have a good backup strategy in place for your key data. Consider the following:
How often do you back up critical data files such as homework files? What type of device do you use for backing up files? Where do you store the backups to ensure they wont be destroyed if a major disaster (such as a fire) destroys your computer? Do you use online sites for file backups?

Requirements:

1. Your assignment should be written in APA style format.

2. Each question should be answered not less than 250 words.

3. Double spaced with 12-point Times New Roman font and make sure to use headings.

4. Separate title and reference page (minimum of 2-3 references).

Lobectomy

I started my outline since was due. Professor wants 5 pages and 5 reputable resources in APA .

My outline:

Identify Procedure
-Lobectomy- Prevent spreading of a disease or cancer

List diseases is it used for
-Tuberculosis (chronic) bacterial infection that often infects the lungs
-Emphysema

Explain Procedure
-Removal of one or two lobes
-Thoracotomy

Explain the pathophysiology of the disease and how this procedure will benefit the patient.
-TB—-
-Emphysema—

Long term care meds, testing, etc.
-PFTs
-Smoking cessation program
-Brochopulmonary rehab
-Antibiotics
-Self care

Prognosis
-FVC, TLC and FEV1 reduction after surgery
-Eliminates the medical problem or it slows their diseases progression/eases symptoms

Analyzing Data With Descriptive Statistics

For this assessment, use a data generator tool to generate hypothetical data for the questions you developed in Assessment 2. Then, use Excel to conduct your analysis and interpret the data using descriptive statistics and visual representations of the data.

Data Generation and Preparation
Step 1: Generate Data Using the Survey Data Generator.
Open the Survey Data Generator located in the Resources under the Required Resources heading. The Survey Data Generator will generate responses to the set of six survey questions you previously defined. It knows nothing about the particular subject of your study; it only generates a set of responses to question types that are pre-defined.
Type the minimum, the maximum, and the expected values for questions 5 and 6 into the Survey Data Generator. (These are values for the quantitative questions from Table 1 of your completed Data Collection Template.) Note that the generator has spaces only for the values for your two quantitative questions.
For the top set of boxes, enter the values for question 5.
For the bottom set of boxes, enter the values for question 6.
You must enter a single number for the minimum, the maximum, and the expected value for each of these questions.
Do not enter any commas, decimal points, or other symbols.
You will not enter anything into the generator for your binary questions (14). The tool knows that the only possible responses for these questions are 0 and 1. It will automatically generate 0s and 1s for the responses to your binary questions. Assign 0 and 1 to the two possible responses; it is up to you which response to assign 0 and which to assign 1. For example, if you asked “Are you male of female?” you could make Male = 0 and Female = 1, or vice versa.
The Survey Data Generator will create an Excel file that represents responses to your questions. Once you have your unique survey data in Excel, you can apply descriptive statistics to the data and present your results in different visual representations to help an audience easily scan and understand your results.
Explanation of data in Excel:
There will be six columns (AF) in Excel: one column for each question (16).
Columns AD represent the responses for questions 14 and should only contain 0s and 1. Columns E and F represent the responses for questions 56 and should contain numbers between your minimum and maximum.
Each row will represent the responses from one survey participant. For example, the first row of answers represents the first survey participant’s answers to all six questions. The second row of answers represents the second survey participant’s answers to the questions, and so forth. The number of rows of answers is how many participants completed the survey.
If a column contains all the same numbers, you need to use the Survey Data Generator again. There has to be variation in these responses for you to statistically analyze the data. Check to see that columns 1 through 4 contain a mix of 0s and 1s and that columns 5 and 6 contain a range of different numbers between your minimum and maximum.
Step 2: Prepare for Data Analysis in Excel.
To be able to create a histogram in Excel, you need to be able to access the Data Analysis command. It should be visible on the Data tab, in the Analysis group to the far right in Excel. If it is not visible, you will need to install the Analysis ToolPak add-in.
For instructions on loading the Analysis ToolPak add-in as well as for creating histograms, which is one your tasks in this assessment, follow the steps on the Microsoft Office Support site, linked in the Required Resources under the Internet Resources heading. Mac users: StatPlus: mac LE is the free equivalent for Apple users, but must be downloaded from AnalystSoft. Note: MS Excel 2016 now has an available Toolpak add-in. For more information, see the Software section under Required Resources.
Enter the word “histogram” into the search box, and you will find information on how to install the ToolPak for your version of Excel as well as information on histograms.
If you are not familiar with using Excel and its functions, a variety of helpful resources are provided in the Resources. In addition, you can choose any of the Excel tutorials from the Supplemental Resources in the left navigation menu of your courseroom.
Technology note: You will need to sort or rearrange your data to accomplish some of these tasks. Be sure you keep a copy of your original Excel file as a backup.
Results note: Because the survey data generation is done without context, you will have to put aside any preconceived notions about how your data should look. Your task is to analyze, interpret, and communicate the unique results.
Data Analysis and Interpretation
Complete your analysis (Parts 13) on one Excel sheet. Include the following components in your analysis of the data. You may wish to refer to the Analyzing Data with Descriptive Statistics Example (Excel and PDF versions linked in the Resources under the Capella Resources heading) for further explanation. Note that in order to cover all the survey questions, your submission should include more tables, graphs, and charts than you see in the example.

Part 1: Questions 1, 2, 3, and 4 (Binary Questions)
Each question 14 should have the following elements:

Sample size.
Sample proportion of each response.
Bar chart or pie chart.
Part 2: Questions 5 and 6 (Quantitative Questions)
Questions 5 and 6 should have the following elements:

Sample mean.
Sample median.
Sample mode.
Sample range.
Sample standard deviation.
Sample minimum and maximum.
Histogram.
Part 3: Exploration of Data
Next, explore your data a bit further. What are two interesting findings from your survey responses? You might investigate responses for selected variables based on responses to your binomial questions. For example, if the answer to question 1 was Male or Female and to question 6 was Annual Income, you might examine average annual income for males only and females only and compare these results. Present your findings in an appropriate table, graph, or chart. Then write, in the same Excel spreadsheet, a 12 paragraph summary of your findings.

Assessment Submission Instructions
Submit your Excel spreadsheet containing Parts 13. Before submitting your assessment, verify you have included all of the elements listed above for Parts 13. It is important to note that you should have:

Four bar graphs (or four pie charts), one each for questions 14.
Two histograms, one each for questions 5 and 6.
Two tables, graphs, or charts to represent interesting findings from your survey responses. Include a 12 paragraph summary of your findings.

*In the files, i provided an example of what the excel sheet should look like, the previous assessment so you have the numbers, and also the survey data that I already did in the survey data generator. Please ask me any questions if you have any. Thanks