Briefly discuss the value-based purchasing program?
How do value-based purchasing (VBP) programs affect reimbursement to hospitals?
Who benefits the most from value-based reimbursement and why?
How does the VBP program measure hospital performance?
Length: 1500-2000 words in length
Structure: Include a title page and reference page in APA format. These do not count towards the minimal word amount for this assignment. Your essay must include an introduction and a conclusion.
References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.
In this final week of preparation for the in-residence component of this course, you consider how consultation and supervision are similar and different.
As discussed in previous weeks, a supervisor is ultimately responsible for the quality of care; therefore, the supervisor must have relevant data to make informed decisions. Many supervisors watch videotapes of a supervisee’s therapy sessions and give feedback about the supervisee’s techniques, as well as recommendations for treatment planning. Clients are aware that the supervisor is ultimately in charge and directing the provided care.
In contrast, consultation involves a psychologist who is responsible for providing treatment and who seeks feedback from a colleague. The consultant is aware of information provided only by the treating clinician in a consultation. This lack of access to information may result in less accurate feedback but can provide the consultant some flexibility and creativity that might otherwise be missing if the consultant was responsible for the treatment. The consultant understands that he or she does not have all the facts and therefore must rely on the treating clinician’s good-faith judgment to incorporate suggestions into the treatment plan. One of the “purest” forms of consulting is the case method of instruction, whereby a workshop faculty member is asked about a case and provides feedback only within the context of that workshop. In such a situation, the instructor is providing instruction, and this activity is not synonymous with treatment.
For this Discussion, review the Learning Resources from Weeks 1 through 9. Reflect on the challenges you described in last week’s Discussion and consider strategies you may employ to address these challenges. Then, think about a topic, skill, or concept related to supervision and/or consultation that you are most looking forward to reviewing during the in-residence component of the course and explain why.
By Day 4
Post a description of the challenges you identified in last week’s Discussion. Then, explain strategies you might use to address these challenges. Finally, explain which topic, skill, or concept from this week’s readings and any other issues or topics that you are most looking forward to reviewing in-residence and explain why.
Be sure to support your post with specific references to the Learning Resources.
Required Reading
Brown, D., Pryzwansky, W. B., & Schulte, A. C. (2011). Psychological consultation and collaboration: Introduction to theory and practice (7th ed.). Boston, MA: Pearson.
Chapter 1, “Introduction to Consultation and Collaboration” (pp. 1–15)
Chapter 6, “Consultation Stages and Processes” (pp. 106–132)
Required Media
Laureate Education (Producer). (2012). Academic year in residence: Thompson family case study [Interactive media]. Retrieved from CDN database. (PSYC 8232)
Note: Please click the following link for the transcript: Academic Year in Residence: Thompson Family Case Study (PDF)
Please print a copy of the transcript and bring it with you to the in-residence component.
Neurological, Perceptual, and Cognitive Complexities
It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.
Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.
Case Scenario
Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.
Objective Data
1.Temperature: 37.1 degrees C
2.BP 123/78 HR 93 RR 22 Pox 99%
3.Denies pain
4.Height: 69.5 inches; Weight 87 kg
Laboratory Results
1.WBC: 19.2 (1,000/uL)
2.Lymphocytes 6700 (cells/uL)
3.CT Head shows no changes since previous scan
4.Urinalysis positive for moderate amount of leukocytes and cloudy
5.Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:
1.Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.
2.When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
3.Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.
4.Discuss what interventions can be put into place to support Mr. M. and his family.
5.Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.
You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
After seven years of being cared for at home for progressive Alzheimer’s disease operated by your organization, Mrs. Dowd has been admitted to a LTC home, also part of your corporate portfolio. Upon visiting his wife one day, Mr. Dowd finds her walking hand-in-hand with a male resident. Staff report Mrs. Dowd has been observed following this male resident into his room, which is immediately next to hers. Mr. Dowd becomes angry and states, “Look, it is your job to protect my wife. Get that man out of here right now. I don’t want her involved with any other man. That’s why I admitted her here.”
What are some of the ethical issues in this case?
What do you recommend?
Is Mrs. Dowd able to understand and appreciate her actions with the male resident?
Does the staff have an obligation to intervene to protect Mrs. Dowd?
Or at the request of Mr. Dowd?
If Mrs. Dowd was capable (competent), would the responsibility of the LTC home staff remain the same?
Prepare a policy and procedure manual (https://notejoy.com/resources/policy-and-procedure-manual ) for corporate-wide implementation that addresses situations such as this. Include guidelines for facility staff and recommendations for communicating with family members in the procedure manual. Submit BOTH the policy manual and procedure manual documents under one title page.
Attached are the readings and instructions with my notes of trying to do it myself (Epic fail) . Do not use outside sources.
Discuss the question using 3 APA reference with nursing content within 5years.
One of the aspects of meaningful use is the implementation of the electronic health record (EHR). How has the EHR impacted your health care organization? What were the positives, and are there any negative issues with any aspects of EHR?
Read “Daily Electronic Health Record Reports Meet Meaningful Use Requirements, Improve Care Efficiency, and Provide a Layer of Safety for Trauma Patients,” by Stimson and Botruff, from Journal of Trauma Nursing (2017).
