Describe your personal experience with automation and new information systems.

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Answer all of the following questions using headers to separate topics.Advocates of computers and these online systems speak about the benefits in glowing terms, but few seem to address the changes in

Answer all of the following questions using headers to separate topics.

  1. Advocates of computers and these online systems speak about the benefits in glowing terms, but few seem to address the changes in workflow and the impact on production during the time it takes to learn and then become skilled at using these systems. Healthcare workers are being asked to do more in less time under the justification that the computer will speed the process. Describe your personal experience with automation and new information systems. How true are the claims about the benefits and the impact on the professionals? (e.g. Did the system turn a world-class healthcare worker into a data entry clerk?)
  1. How often are the challenges the authors discuss on page 195 and 196 actually issues? If you were to rewrite that section, what challenges would you include? Be concrete and give examples.
  1. Perform a critique of the three case studies from Chapter 8. How believable are these case studies and the results? What are the key lessons you took away from these case studies and why? (None is an acceptable answer, but you must be explicit about what you found troubling and/or unbelievable about each.
  1. Do research to see what has been reported about the longer-term result from these three case studies and write about what you discover. If you are unable to find anything for any of the three, explore the issue of long-term healthcare worker satisfaction with such solutions and see how that data compares to what you found from the case studies

How will information for the community assessment be collected?

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In this module, you will finalize the completion of the full assessment of your own community. ( Glen Burnie, Maryland)
Defining the Community
Your community should be within a specifically designated geographic location.
One must clearly delineate the following dimensions before starting the process of community assessment:

  • Describe the population that is being assessed?
  • What is/are the race(s) of this population within the community?
  • Are there boundaries of this group? If so, what are they?
  • Does this community exist within a certain city or county?
  • Are there general characteristics that separate this group from others?
  • Education levels, birth/death rates, age of deaths, insured/uninsured?
  • Where is this group located geographically…? Urban/rural?
  • Why is a community assessment being performed? What purpose will it serve?
  • How will information for the community assessment be collected?

Assessment
After the community has been defined, the next phase is assessment. The following items describe several resources and methods that can be used to gather and generate data. These items serve as a starting point for data collection. This is not an all-inclusive list of resources and methods that may be used when a community assessment is conducted.
The time frame for completion of the assessment may influence which methods are used. Nonetheless, these items should be reviewed to determine what information will be useful to collect about the community that is being assessed. It is not necessary to use all of these resources and methods; however, use of a variety of methods is helpful when one is exploring the needs of a community.
Data Gathering (collecting information that already exists)
Demographics of the Community

  • When demographic data are collected, it is useful to collect data from a variety of levels so comparisons can be made.
  • If the population that is being assessed is located within a specific setting, it may be best to contact that agency to retrieve specific information about that population.
  • The following resources provide a broad overview of the demographics of a city, county, or state:
  • American Fact Finder—Find population, housing, and economic and geographic data for your city based on U.S. Census data: http://factfinder.census.gov/faces/nav/jsf/pages/index.xhtml
  • State and County Quick Facts—Easy access to facts about people, business, and geography, based on U.S. Census data: https://www.census.gov/quickfacts/fact/table/US/PST045216
  • Obtain information about a specific city or county on these useful websites:

www.epodunk.com and www.city-data.com
Information from Government Agencies

  • Healthy People 2020—this resource is published by the U.S. Department of Health and Human Services. It identifies health improvement goals and objectives for the country to be reached by the year 2020: http://www.healthypeople.gov/
  • National Center for Health Statistics—this agency is part of the Centers for Disease Control and Prevention; this website provides statistical information about the health of Americans: http://www.cdc.gov/nchs/nvss.htm
  • Centers for Disease Control and Prevention (CDC)—The CDC website contains a large amount of information related to the health of the American population. The search engine within this website can be used to find relevant information: http://www.cdc.gov
  • Federal agencies with statistical programs: http://www.fedstats.gov/agencies
  • Every state in the United States has its own specific health improvement plan and goals that are based on the Healthy People 2020 document. This information may be available on the state health department website.
  • State and local health departments provide information related to vital statistics for the community.

Other Data Sources

  • America’s Health Rankings—this website provides information about various health indicators for each state:   https://www.americashealthrankings.org/
  • Other relevant data sources may be found by conducting an Internet search related to the topic that is being examined through the community assessment.

After data are collected from various sources, it is important to review the information and to identify assets and areas for improvement in the community by comparing local data (if available) versus state and national data. This will facilitate organization of the information that has already been obtained and will provide direction for the next step of the process.
Data Generation (data are developed that do not already exist)
Windshield Surveys
With the use of public transportation or by driving a vehicle around the community, one can observe common characteristics of the community.
Examples of key observations to make when one is assessing the community through a windshield survey include the following:

  • Age of the homes in the community
  • Location of parks and other recreational areas
  • Amount of space between homes and businesses
  • Neighborhood hangouts
  • Transportation in the community
  • Quality and safety of streets and sidewalks
  • Stores and other businesses
  • People out in the community
  • Cleanliness of the community
  • Billboards or other media displays
  • Places of worship
  • Healthcare facilities

Participant Observation
Spend time observing the population that is being assessed. Through observation of interactions among group members, much can be learned about the community, including the following:

  • Developmental level of the population
  • Effectiveness of peer-to-peer interactions
  • Respect for peers and others
  • Safety in the environment
  • Economic status

Informant Interviews
Informants could be people who are familiar with and interact with the population on a regular basis.
Examples of questions that may be asked of key informants include the following:

  • Strengths/assets of the community
  • Areas of improvement for the community
  • Concerns of community members
  • Access to health care
  • Emergency plans for natural or man-made disasters

Focus Groups
Focus groups (usually small groups of 6-12 people) can be helpful when one is gathering information about specific areas of concern within the population. Use of a focus group involves open dialogue about the population, whereas an interview or survey yields only individual responses.

  • Focus groups may be effective for assessing the following:
  • Satisfaction with services provided
  • Community resources used
  • Transportation issues within the community
  • Safety within the community
  • General concerns of members of the population

Surveys
Surveys may be used to collect data from the community. Selecting a sample of the target population may prove helpful in the collection of data that are easier to analyze. It is important to ensure that the sample is representative of the target population.
A survey should be developed that takes into consideration the developmental level of the group that is being assessed. Questions should be written at the appropriate developmental level, so they are answered in a way that makes the data useful. Surveys might include closed-ended (yes/no), multiple choice (several responses to choose from), Likert scale (Strongly Agree/Agree/Neutral/Disagree/Strongly Disagree), or open-ended (“why”/“how”) questions.
Topics that may be addressed in a survey include the following:

  • Demographic information
  • Status of employment
  • Safety within community
  • Safety in environment
  • Personal safety (seatbelts, helmets, etc.)
  • Stressors/stress management patterns
  • Risky behaviors
  • Support systems
  • Volunteer/community activities
  • Rest patterns
  • Nutrition
  • Dental hygiene
  • Health promotion activities

Your submission should be a minimum of 2000 words (maximum 2500 words) in length and should completely answer the proposed questions as listed under “Define the community.” You should have a minimum of three (3) references.

Synthesize how each hospital could potentially increase value to their existing services.

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3-4 page paper excluding front and back matter (APA standards apply) In this Assignment, you will be assessing the quality of services provided by hospitals. Likewise, you will also assess how these h

3-4 page paper excluding front and back matter (APA standards apply)
In this Assignment, you will be assessing the quality of services provided by hospitals. Likewise, you will also assess how these hospitals can improve their organizational performance.
• Using the Medicare Hospital Compare website, research two hospitals varying in quality performance*
• One hospital should display a high level of quality
• One hospital should display a low level of quality
• Provide a general overview of each hospital (e.g., name, location, bed size, ownership, etc.) • Discuss the quality performance differences between hospitals (e.g., survey results, deficiencies, complaints, services provided, value, etc.)
• Discuss how the first hospital is able to yield a high level of quality.
• Discuss opportunities for the second hospital to increase their level of quality.
• Synthesize how each hospital could potentially increase value to their existing services.

When is the fetus most vulnerable to the effects of teratogens and why?

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Case Study: Cell Biology and GeneticsBelow are several case studies. Your instructor will either assign you a case study or have you select one. If all of the case studies have not been covered, your

Case Study: Cell Biology and Genetics
Below are several case studies. Your instructor will either assign you a case study or have you select one. If all of the case studies have not been covered, your instructor may assign a case study that no one has covered. Be sure to integrate your knowledge of advanced physiology and pathophysiology across the lifespan with the clinical implications for the advanced practice nurse.
Case Study Posting Requirements
1.    Make sure all of the topics in the case study have been addressed.
2.    Cite at least three sources; journal articles, textbooks, or evidenced-based websites to support the content.
3.    All sources must be within five years.
4.    Do not use .com, Wikipedia, or up-to-date, etc., for your sources.
CASE STUDY ONE
Felicity is a very busy 29-year-old woman in a professional career. She has diabetes mellitus, and is also pregnant for the first time. Due to her busy schedule, it took her three weeks to visit the family doctor to have the pregnancy confirmed. Felicity became very concerned when her physician asked whether she had been taking folic acid. It was all Felicity could do to remember to manage her insulin levels, and taking folic acid supplements was something she hadn’t even considered. Her doctor told her to take 600 μg of folic acid daily and advised Felicity to return later for maternal serum marker testing.
1.    Explain the potential teratogenic effect of folic acid deficiency on the developing fetus. What other risk factor is noteworthy in Felicity’s case?
2.    What is the benefit of maternal serum marker testing? What other test would be particularly useful to monitor the development of Felicity’s baby in this situation?
3.    When is the fetus most vulnerable to the effects of teratogens and why?
MUST BE FOUR PAGES LONG NOT INCLUDING TITLE AND REFERENCE PAGE THANK YOU! REFERENCES MUST BE WITHIN 5 YEARS OLD.