Health insurance

View All 51 Images The states were ranked on health care using three broad benchmarks: access to care, quality of care, and the overall health of the population. This includes measures such as the percentage of adults without health insurance and the percentage who haven’t had a routine checkup in the past year – including those who went without medical attention because of the cost. It includes positive measures such as the percentage of children receiving medical and dental care under Medicaid. It includes measures of preventable hospital admissions, readmissions within 30 days of discharge, nursing home quality ratings, and numbers of seniors covered under high-quality Medicare Advantage plans. It involves general measures that correspond with good physical and mental health – rates of smoking, obesity, and suicide, along with self-reported mental health. And it takes into account infant and overall mortality rates. With the easily navigable data of the Best States platform, see which states have ranked highly and see where others face ongoing challenges. Compare your own state with other states, and see what all might have to learn from one another. And pull some quick, clear charts to share with anyone interested in how some states stand out more than others. What Goes Into the Health Care Ranking? Health Care Access

Memorial

Suppose that you are the new Chief Executive Officer at Memorial Hospital. Memorial is a Nonprofit hospital with 300 beds and is located in a busy metropolitan area directly adjacent to a large university.  The memorial is the only hospital within a 20-mile radius of campus, but construction on a new, competing hospital has just started within 5 miles.

1.  Identify three forecasting content items. How will they be measured?

2. What is the expected status of the content items in the future?

3. Which forecasting techniques should you use?  Why?

Please include references. Thank you.

Evolutionary biology

  1. Present your point of view either supporting or refuting the statement “food is addictive.”  You should support your point of view with specific examples of the actions of hormones or other chemicals that are part of the hedonic pathway or are otherwise involved in appetite regulation OR other material from this week’s assigned readings.
  2. Explain the impact you feel evolutionary biology and the changes that have occurred in the human diet have on food addiction and body weight.
  3. Give a minimum of two suggestions for methods people might use to minimize their addiction to food.

Conduct inspections

Layered Safety Process Audits A New Way to Strengthen Safety Systems By James A. Burk and Abigail Sprague Alayered- safety process audit (LSPA) is a systematic auditing technique used to evaluate critical safety systems. An LSPA is conducted by employees who represent various levels of the organization. Traditionally, safety has relied on various inspections,ons specific to programs or equipment. Often, however, these inspections are assigned to a few individuals who reside at the same level within the organization (e.g., safety technicians, production, and maintenance employees). Relying on a select few to conduct inspections can result in process errors and gaps due to limited knowledge or poor technique, gaps in the inspection process itself, and inconsistent application of inspection protocols. Because so few individuals are involved, these system errors may not be readily identified, thus creating organizational risk. An LSPA is not the same thing as a layered process audit (LPA), which is a specific processr’term used within the quality profession. An LSPA is specific to safety processes and systems. How— ever, its logic, techniques, and value mirror that of an LPA. From LPA to LSPA Like an LPA, an LSPA enables plant management at different organizational levels to directly evaluate the effectiveness of safety programs and any related critical processes. The LSPA process can apply to any safety process, but it often helps to first focus on safety—critical programs, such as those in which a gap or error can result in severe injuries, disabling injuries, or fatalities. Safety programs with these levels of consequences include confined space entry, hazardous energy control (lockout! tagout), powered industrial vehicles, machine guarding, driving safety, fall prevention protection, electrical safety, and life safety (e.g., emergency exits, exit routes, emergency lighting) Initially focusing on safety—critical programs and the related processes (e.g., entry permits, lockout procedures for maintenance, anchor points) can produce immediate, positive improvements in an organization’s injury or fatality experience. As a next step, an organization can expand the LSPA process to encompass programs that contain gaps or produce errors that can lead to injury (but do not necessarily immediately result in fatalities), such as hearing conservation, PPE, and hazard communication/chemicals. Over time, the LSPA process is applied to a facility’s entire safety management system. By including plant leadership at all levels (especially senior leadership), this process fosters a positive safety culture. Create & Conduct an LSPA The first step is to define a facil— ity’ s LSPA method in writing. This document should define LSPA goals, Layered safety process audits enable plant management at different organizational levels to directly evaluate the effectiveness of safety programs and any related critical processes. identify stakeholder roles and responsibilities, and describe the mechanics of the process. The detailed description of the process should identify what safety process will be measured and how it will be measured; specify the frequency of measurement and by whom; explain how to document identified process gaps (opportunities for improvements); and indicate how the organization should address and track these issues to completion. The roles and responsibilities component will also define the training, qualifications, and knowledge of the individuals involved. To ensure consistency, the document should include the necessary forms. For the process to be most effective, all levels (or layers) of the organization must participate in the LSPA; this includes primary employees, frontline supervisors, middle management (e.g., area managers), and senior leadership, including the plant manager. As with an LPA, it is best to create a frequency schedule based on the rate of occurrence of a critical process. Here is an example: Primary employees and frontline leaders will participate in FrolauimralSalety NOVEMBER 2017 www.asse.org in the LSPA process each day, middle management will conduct an LSPA once a week, and senior plant leaders will conduct an LSPA once a month. Some safety—critical processes do not occur on a daily basis, so auditing fre— quency must be modified accordingly. For example, confined space permitting may not occur each day. Therefore, the team might set LSPA frequency as follows: an LSPA is performed for every fifth confined space permit entry at the supervisor level; every 15th permitted entry is audited by middle management,- and every 30th permitted entry is audited by the plant leader. Once the LSPA method is defined, the safety team must develop and provide training to all participants so that the process is applied consistently and as designed. This training should include hands—on group practice to confirm a minimum level of performance among auditors. After applying LSPA to the first selected safety—critical program process, an organization should review the results. Are the audits identifying known or casually observed gaps? Are auditors formally documenting, addressing, and tracking identified issues? Management should watch for red flags, such as results from one individual or group that always finds no gaps. Some individuals or groups may fear that identifying gaps will penalize others or that gaps will lead to negative consequences. The organization should clearly state that identifying gaps is a positive outcome because doing so represents an opportunity for improvement. Any improvements made will eventually yield a robust safety process that strengthens the plant’s safety performance. The Value of LSPA An LSPA aims to improve systems and does not dwell on fixing employees. An LSPA is focused on evaluating safety systems as a whole and answering several questions: Is the process occur— ring when required? Are required forms being used, and are they used accurately and completely? Are the forms collect— ing the information needed to achieve the desired results? Are identified gaps well documented, including the use of corrective action plans, and the assigning of individuals to monitor corrective

Needs and wants

Mastering the Interview: Step 3 Step 3: Relate the Benefits of Hiring You! Once you know what the employer needs and wants, you can zero in on the qualities that you can use to fill those needs and wants. If, for instance, the employer has informed you that he or she needs someone who is reliable, you will want to stress your punctuality, using examples from your past. If the employer mentions experience that you do not have, you will want to talk about how quickly you learn, or the experience you have had that relates to the job. Using the needs and wants list from Step 2, write a statement about the benefits of hiring you: Your Answer.

 

 

Salesperson

Mastering the Interview: Step 5 Step 5: Ask for the Position! Let’s use the salesperson as an example once again. When someone purchases a big-ticket item, it’s a major investment. The buyer wants to be absolutely certain that he or she is making the correct choice and is unlikely to say, " Okay, I’ll take it" without some bargaining and a lot of thought. If a car buyer leaves the dealership without making a commitment to purchase, he or she just might go elsewhere, be offered a slightly better price, and make the purchase. Or, the buyer might have second thoughts about the whole idea of buying. In either case, regardless of how great a job the original salesperson did, the sale has been lost, and the salesperson does not earn a commission. That is why salespeople are trained to " ask for the order&quot, not just once, but several times during the sales process. What are 3 ways that you can ask for the position? Your Answer… Your Answer… Your Answer…

Show less

 

 

Vaccination requirement

Consider the following scenario:

Northwestern Hospital has a policy that all employees are required to receive certain vaccinations including Hepatitis B, MMR, Tdap, and influenza (yearly). Exceptions could be made if an employee has had an adverse reaction in the past to vaccinations, but other exceptions are not made. A group of hospital staff with no patient interactions and no access to patient spaces feel that they should not be forced to comply with this requirement.

1) Describe any ethical or legal impacts that the vaccination requirement has on different people and groups. These can be both positive and negative impacts.
2) Describe any unintended consequences that might come about as a result of the policy.
3)  Cite at least one (1) scholarly source to support your response. Include a citation from Shaming Vaccine Refusal

Silverman, R. D., & Wiley, L. F. (2017). Shaming vaccine refusal. Journal of Law, Medicine and Ethics, 45(4), 569-581.

Polio outbreak

answer the questions.

  1. When was the first documented polio outbreak?
  2. What did Ivar Wickman discover in 1905?
  3. What did Landsteiner & Popper determine in 1908?
  4. What is the iron lung?
  5. Polio viruses can only infect__________.
  6. How does polio enter the body?
  7. What % of infected do not have any symptoms?
  8. Poliomyelitis is reserved specifically for cases involving________.
  9. Post-Polio Syndrome can occur how long after initial signs and symptoms?
  10. What are the two types of polio vaccines?
  11. The USA has been polio-free since______. Which means what?
  12. Poliovirus 2 was eradicated when?
  13. What are the two countries that Polio Virus I still affected?

https://www.youtube.com/watch?v=Y6ENEA7FzvU&list=PLbKSbFnKYVY3frcqlQpx1-DovUman742n&index=5. watch the video and answer the questions.

 

1. What are the symptoms that you see?
2. Who is most commonly affected by polio?
3. What three lab tests can be run to detect polio?
4. Which of those three is most accurate?
5. Once diagnosed what is the treatment?
6. What is the prevention strategy?

 

https://www.youtube.com/watch?v=Ovype5DUI04&list=PLbKSbFnKYVY3frcqlQpx1-DovUman742n&index=6. watch the video and answer the questions.

 

1. What are the two types of vaccines?
2. What are the differences?
3. What are the advantages of both?
4. What is humoral immunity?
5. What is cell-mediated immunity?
6. What are the disadvantages of the Sabin Vaccine?
7. Who cannot receive the oral vaccine?
https://www.youtube.com/watch?v=Mra7PNRJ_rI&t=1s. watch the video and answer the questions.

 

1. What are some of the complications of measles?
2. Why did the children under 6 months not get measles during the 1892 outbreak?
3. How many people died in the Fuji outbreak?
4. Before the 1960s how many cases yearly were there of measles?
5. What % of the population needs to be immune to stop the spread of measles?
6. What causes the outbreaks in the 1980s?
7. What happened in 1989?
8. At what age was the outbreak in 1989-1991 found?
9. What happened in 2000?
10. What are some things that happen when a disease disappears?
11. What caused the 2008 outbreak?

Pathogenic agent

Section A
1.) Identify the pathogenic agent and the group to which infantile paralysis belongs.
2.) Identify the locations in the body where the pathogen is harbored.
3.) Identify the currently accepted mode of disease transmission and related
epidemiological implications.
Section B
3.) List the various names by which polio had been known.
4.) Discuss and explain the issues of age and its implications for the epidemiology of
polio and infantile paralysis.
5.) Why did physicians and epidemiologists have such a difficult time identifying
outbreaks and the spread of polio? Explain in detail.
6.) Explain and discuss Polio as a biphasic (two-phase) disease and the problems this two-phase process produces in investigating polio epidemics.
7.) List the many epidemiological observations made by Wickman about infantile
paralysis and its spread. Who later confirmed these observations and how did he verify
them?
8.) What were the epidemiologists’ observations of Wernstedt?
10.) When was the Polio virus discovered? Explain its characteristics and the locations in
the body where it was originally discovered.
Section C
1.) What unique epidemiologic observations and contributions about the epidemic of
infantile paralysis were made by Dr. Caverly from his experience in rural Vermont?
2.) What epidemiological observations did Dr. Caverly make regarding the age of infantile
paralysis victims and polio epidemics?
3.) What were some critical thinking and observational errors regarding epidemiology
that were made by Dr. Caverly?

Section D
1.) What were the epidemiological limitations to Flexner’s work on polio? List and
discuss several of these limitations.
2.) Who was Dr. Frost, and what were his contributions to epidemiologic investigations
of infantile paralysis/polio?
3.) What did Dr. Frost contribute in the way of understanding modes of disease
transmission in poliomyelitis?
4.) Which specific methods and approaches was Dr. Frost able to use and establish as a
solid epidemiological methodology?
Section E
1.) By 1934, a great deal was known about poliomyelitis. Summarize all that was known
about all facets of the epidemiology of polio.
2.) How serious was the polio epidemic of 1934? What were the social, physiological,
and political implications and their effects on the epidemiology of polio surrounding the
case?
3.) What were the final conclusions about the polio epidemic of 1934 in Los Angeles, and
what were the implications for the future?

 

Clinical experiences

a. Title Page:: APA formal v. introduction: One paragraph describes why turning is important to patient sati faction & how that _avisfaction impacts healthcare. Cites (with a reference) one scholarly source aside in APA style. C. Purpose Statement: Inu product y pa graph that responds. to, "The purpose of thi_ paper is to.." d. Description of nursing issue. For each question, describe the related issue that is being measured. Cites (with reverence) one scholarly source in APA style. e. Describe 2 3 nursing strategies. for each question that will improve the patient’s experience & response to the issue question in one paragraph. Cites (with a reference, one scholarly source in APA style. f. from the group’s clinical experiences, describe how the hospitals are trying to improve patient responses to these HCAPHS patient satisfaction surveys. g. Conclusions: In one paragraph, summarize the findings without introducing new information.