CaseScenarioWEEK2.docx

Course Objective for Assignment:

· Assess the roles of various healthcare stakeholders to ensure that health care programs meet the needs of the recipients and comply with regulatory and payor requirements.

Instructions: Complete a Managerial Report based upon the case and your selected role. The healthcare setting in the report will be based upon the course’s selected case study and the role will be based upon your selected role for the course. An example 
Managerial Report Template has been provided for your reference, ensure each section is completed with sufficient details. Students are welcome to customize their report, but all aspects of the report must be completed with the appropriate amount of details for each section. Please provide a separate APA cover page and APA reference page with the managerial report that includes at least two credible sources. 
(Refer to the Announcement Page for the case or the Week 1 Content.)  
  



Managerial Report Template PDF


    


Managerial Report Template Word Document


  (Student may elect to use the Word document, if desired. Please appropriately adjust the spacing and formatting, when entering your information into the report.)

The managerial report should include the following items:

1.
Managerial Issue Defined: Identification of one managerial issue with the information on the severity, impact, and scope. Ensure the report includes the appropriate amount of details for each element of the managerial issue, impact, severity, and scope. 

Impact: An effect one event makes on the other.  For example, the impact would be the restriction to the health services accessibility for all area residents served by the hospital due to the impacted transportation and infrastructure systems. Another impact point could have been the lowered capacity of the hospital to offer health care services to all served area residents (in-patient and out in the community) due to the power failure.

Severity: The fact or condition of being severe. Talking about the severity you needed to concentrate on the wider community. For example, a snowstorm affected a half of the served area living in widespread geographic allocation. The power failure and infrastructure issues would generate public health issues in the community. That should serve as an argument that this is a severe situation for the only health service organized institution in the area which duty is to prevent and mitigate public health issues along with offering routine services. 

Scope:  The opportunity or possibility to do or deal with something.  Power failure and the infrastructure system failure in the community restrict the scope of hospital influence (opportunity and possibility) on the natural disaster and associated health issues developing in the community.  

2.
Identify 2 Healthcare Case Study Issues: Discuss at least two healthcare-related characteristics of the case.

3.
Role Perspective: Offer insight to the situation through the lens of your role.

4.
Identify a Minimum of 2 Policies, Laws, and/or Regulations with Responsible Parties Information: Describe the two policies, laws, or regulations and include a discussion on the responsible parties such as the government agency or regulatory body.

5.
Explain Your Role for Managing the Situation: Offer at least two specific tasks or steps that you can conduct to appropriately address the issues.

6.
Identify at Least 2 Stakeholders: Provide a response that includes two stakeholders that your role will work with to address the issues, explain the relationship of the stakeholder to your role, and why this relationship is important.

7. Provide at 
least 2 credible sources with corresponding in-text citations. 

Full sentences with proper grammar, articulation, and punctuation are required throughout the report. Provide the in-text citations throughout the report for the supervising manager’s reference. 

Example of Responses for a HIPAA & Compliance Director for a Case Study Involving an Urgent Care Setting: 
(Please note that these examples may not be used in your submission and the responses are not reflective of a managerial report format.)  

· High severity issue: Potential for patient safety violations, Protected Health Information (PHI) violations, and Health Insurance Portability and Accountability Act (HIPAA) violations.
 (Note: Offer supporting details on the severity level.)

·  Impact-HIPAA violations, PHI exposed, patients’ information at risk, and patient safety at risk. (Note: Offer supporting details on the impact.) Scope-Operational, Clinical, & Legal. 
(Note: Offer supporting details on the scope.)

· Urgent Care Case Study: 2 Issues- Patient tracking issues and staff unaware of patients’ locations including the collection of blood and urine. 
(Note: Offer supporting details regarding the two issues for the assigned course’s case study, clearly stating the issues as each one relates to the role and healthcare setting.)

· Role Perspective- Compliance & HIPAA Director: Address the identified issues to minimize the risks, ensuring all aspects of compliance are clearly defined, while following all regulatory elements, rules, and laws. 
(Note: Describe your role as this leader related to the response provided.)

· 2 Policies/Laws with Regulatory Parties- Apply HIPAA regulations to the issues and revise the organization’s PHI policy. Students do not need to identify specific regulatory definitions but need to demonstrate an understanding of HIPAA regulations and PHI policies for this example. The regulatory parties that may be involved with these laws include the Centers for Medicare and Medicaid (CMS) including CMS surveyors, the Joint Commission, or the Department of Health and Human Services’ Office for Civil Rights (OCR) related to HIPAA enforcement. 
(Note: Students must include the regulatory body for the selected policies, laws, or regulations that will be presented in the managerial report.)

· 2 Collaborative Stakeholders: Under this scenario, two collaborative stakeholders could be the facility manager and the risk manager. 
(Note: Discuss how, and why, these two stakeholders were selected, offer a discussion on their roles associated to your role, and provide information to the importance of their role.

 

PLEASE RESPOND TO THE FOLLOWING POST OF A CLASSMATE IN 100 WORDS:

 Stress, illness, lifestyle challenges, chronic conditions, and mental illness can significantly impact our health and well being on a daily basis. There are therapy methods that help connect the mind and body to help aid in mental and physical recovery. Mind-body therapies such as meditation, relaxation, biofeedback, and hypnotherapy activate the relaxation response to counter the effects of stress (Micozzi MD PhD, Marc S., 2018) These modalities also reduce muscle tension, lower blood pressure, improve circulation, decrease pain perception, help regulate emotions, and change brain wave patterns to induce a deeper calm. Evidence suggests that mind-body practices help regulate emotions, build resilience, and support mental health such as depression and anxiety. Meditation specifically suggests alleviating anxiety, promoting a positive attitude, and improving immune response (Micozzi MD PhD, Marc S., 2018). Some of these therapies such as meditation directly target conditions like stress, anxiety, PTSD, and attention disorders. For example, mindfulness meditation has shown effectiveness comparable to medications and cognitive behavioral therapy for recurrent depression (Sharma & Rush, 2014). Mind-body strategies also empower psychological self-care and coping skills. These therapies also help patients with chronic diseases by addressing quality of life, mental health, and inflammation that impact disease progression (Bower et al., 2014). These approaches manage stress tied to illnesses like cancer, cardiovascular disease, and arthritis. 

For this class activity, I listened to the relaxing music for stress relief, etc. I have recently started getting into meditation and working on relaxing for a full 10-20 minutes. I find that I am fidgety and have a hard time sitting and relaxing for that long but am getting better at it. When I sit, I move around and change positions a lot so it is taking a lot of discipline for me to stay still. This audio was very good for relaxing, when I know I’m deep in the meditation is when my facial and jaw muscle lose all their tension and completely relax, and my head/neck feels like it’s floating, I almost have to remind myself to keep holding my head up. I really enjoy these exercises and hope to incorporate it more into my daily living. 

References:

Bower, J. E., Crosswell, A. D., Stanton, A. L., Crespi, C. M., Winston, D., Arevalo, J., Ma, J., Cole, S. W., & Ganz, P. A. (2014). Mindfulness meditation for younger breast cancer survivors: A randomized controlled trial. Cancer, 121(8), 1231–1240. https://doi.org/10.1002/cncr.29194Links to an external site.

Micozzi MD PhD, Marc S. (2018). Fundamentals of complementary, alternative, and integrative medicine (6th ed.). Saunders.

Sharma, M., & Rush, S. E. (2014). Mindfulness-based stress reduction as a stress management intervention for healthy individuals. Journal of Evidence-Based Complementary & Alternative Medicine, 19(4), 271–286. https://doi.org/10.1177/2156587214543143Links to an external site.

EVIDENCE-BASED PROJECT, PART 2: ADVANCED LEVELS OF CLINICAL INQUIRY AND SYSTEMATIC REVIEWS

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

RESOURCES

· Melnyk, B. M., & Fineout-Overholt, E. (2023). 
Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.

· Chapter 2, “Asking Compelling Clinical Questions” (pp. 37–60)

· Chapter 3, “Finding Relevant Evidence to Answer Clinical Questions” (pp. 62–104)

· Davies, K. S. (2011). 

Formulating the evidence based practice question: A review of the frameworksLinks to an external site.
 for LIS professionals. 
Evidence Based Library and Information Practice, 6(2), 75–80.

· Library of Congress. (n.d.). 


Search/browse help – Boolean operators and nestingLinks to an external site.


. Retrieved September 19, 2018, from https://catalog.loc.gov/vwebv/ui/en_US/htdocs/help/searchBoolean.html

· Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). 

Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice.Links to an external site.
 
American Journal of Nursing, 110(3), 58–61.

· Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2009).

Evidence-based practice: Step by step: Igniting a spirit of inquiryLinks to an external site.


.Links to an external site.
 
American Journal of Nursing, 109(11), 49–52. doi:10.1097/01.NAJ.0000363354.53883.58

· Stillwell, S.B., Fineout-Overhold, E., Melnyk, B.M., & Williamson, K.M. (2010). 

Evidence-based practice step-by-step: Searching for evidence.Links to an external site.
 
American Journal of Nursing, 110(5), 41-47.

· Walden University Library. (n.d.-a).
 


Databases A-Z: NursingLinks to an external site.


. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

· Walden University Library. (n.d.-c).

Evidence-based practice research: CINAHL search helpLinks to an external site.

. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/cinahlsearchhelp

· Walden University Library. (n.d.-d). 


Evidence-based practice research: Joanna Briggs Institute search help

Links to an external site.
. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/jbisearchhelp

· Walden University Library. (n.d.-e). 


Evidence-based practice research: MEDLINE search help

Links to an external site.
. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/medlinesearchhelp

· Walden University Library. (n.d.-f). Keyword searching: 

Finding articles on your topic: Boolean termsLinks to an external site.
. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/boolean

· Walden University Library. (n.d.-g). Keyword searching: Finding articles on your topic: 

Introduction to keyword searchingLinks to an external site.
. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/searching-basics

· Walden University Library. (n.d.-h). 


Quick Answers: How do I find a systematic review article related to health, medicine, or nursing?

Links to an external site.
 Retrieved September 6, 2019, from https://academicanswers.waldenu.edu/faq/72670

· Walden University Library. (n.d.-i). 


Systematic review.

Links to an external site.
 Retrieved January 22, 2020, from https://academicguides.waldenu.edu/library/healthevidence/types#s-lg-box-1520654

To Prepare:

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.

Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.

Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

Identify and briefly describe your chosen clinical issue of interest.

Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.

Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.

Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

Submit Part 2 of your Evidence-Based Project.

PLEASE FOLLOW RUBRIC ATTACHED IN FILES!!

New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:

• Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
• Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
• Identify and select 4 peer-reviewed research articles from your research.
• For information about annotated bibliographies, visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographiesLinks to an external site.

The Assignment: (4-5 pa not including the title and reference p)

In a 4- to 5-p A G E S, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

• Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.
• Include an introduction explaining the purpose of the p.
• Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.
• In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.
• Use APA format and include a title p
• Use the Safe Assign Drafts

REQUIRED READING!

• McGonigle, D., & Mastrian, K. G. (2022). Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.
  • Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 293–316)
  • Chapter 15, “Informatics Tools to Promote Patient Safety, Quality Outcomes, and Interdisciplinary Collaboration” (pp. 323–349)
  • Chapter 16, “Patient Engagement and Connected Health” (pp. 357–378)
  • Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 383–397)
  • Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 403–432)
• Benda, N. C., Veinot, T. C., Sieck, C. J., & Ancker, J. S. (2020). Broadband internet access is a social determinant of health!Links to an external site.. American Journal of Public Health, 110(8), 1123-1125. https://doi.org/10.2105/AJPH.2020.305784 
• Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. …Bates, D. W. (2017). Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study Download Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study. Critical Care Medicine, 45(8), e806–e813. doi:10.1097/CCM.0000000000002449
• HealthIT.gov. (2018c). What is an electronic health record (EHR)?Links to an external site. Retrieved from 
  https://www.healthit.gov/faq/what-electronic-health-record-ehr
• Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018). Leveraging interactive patient care technology to Improve pain management engagementLinks to an external site.. Pain Management Nursing, 19(3), 212–221. 
• Sieck, C. J., Sheon, A., Ancker, J. S., Castek, J., Callahan, B., & Siefer, A. (2021). Digital inclusion as a social determinant of healthLinks to an external site.. NPJ Digital Medicine, 4(1), 52.  https://doi.org/10.1038/s41746-021-00413-8 
• Skiba, D. (2017). Evaluation tools to appraise social media and mobile applicationsLinks to an external site.. Informatics, 4(3), 32–40. 
• Sharma, P., & Patten, C. A. (2022). A need for digitally inclusive health care service in the United States: Recommendations for clinicians and health care systemsLinks to an external site.. Permanente Journal, 26(3). https://doi.org/10.7812/TPP/21.156