Home health services

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Scenario: A 52-year-old patient is admitted for CABG. She also has a history of DM II, HTN, and hyperlipidemia. After surgery, the patient recovers, and her hospital stay is without complication. She is discharged on day 4 to home with home health services to start within 3 days of her discharge. DRG Information DRG= 236 MS DRG Payment=$24,000 Answer the following questions based on the scenario above. Utilize the CMS Tables to also complete your answer.

1. Is DRG 236 a Transfer DRG?

2. What is the GMLOS for DRG 236?

3. What is the LOS of the patient?

4. Does this qualify for TDRG reimbursement?

5. What is the per diem amount?

6. What is the DRG payment for this patient?

7. How many transfer DRGs are there?

8. How many special pay DRGs are there?

Scientific topic

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We have made it to the present. So it is time to look in the daily news for a scientific topic that interests you. Use one of the following websites to find an article from the last 5 years: http://www.nytimes.com/pages/science/index.html http://www.smithsonianmag.com/science-nature/ http://www.wired.com/wiredscience/ http://science.nasa.gov/science-news/ http://www.sciencenews.org/ http://news.sciencemag.org/ http://www.scientificamerican.com/sciammag/ The article must have an author and a publication date. DISCUSS HOW YOUR TOPIC RELATES TO THE HISTORY OF SCIENCE

Ethical issue

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Please help me with the discussion post for HSA 2001 using only the information provided. I upload in course hero powerPoint for this assignment https://www.coursehero.com/smart-scan/303238147/file/

 

Choose which ethical issue or dilemma you want to investigate for this assignment. Then, after analyzing the ethical issues and dilemmas present in both scenarios, select the one you find most interesting. Behind door #1 – the second part of Mr. Sandel’s lecture (The Case For Cannibalism) in conjunction with Chapter 22 (Informed Consent)

Behind door #2 – Exhibit 22-1 p. 444 case study (article to accompany) https://journalofethics.ama-assn.org/article/do-pediatric-patients-have-right-know/2017-05

 

For whichever door your select, answer the following questions:

1. Based on what you know about moral development from the four main educational theorists, what is healthcare providers’ primary moral obligation/responsibility?

2. How does that differ from an everyday citizen? Identify barriers present that prevented obtaining informed choice/informed consent.

3. Why did you select your scenario (Door #1 or Door #2)? What about the scenarios can you relate to?

Developing an Action Plan

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Chapter 2 Activity Developing an Action Plan Without motivation, particularly intrinsic motivation, individuals are unlikely to reach goals, improve their health/fitness, and maintain healthy habits. The primary goal of every person who provides any type of health care services (PTs, OTS, ATs, Eps, Strength Coaches, Coaches, Personal Trainers, etc…) is to establish a relationship with each client based on trust, mutual respect, credibility, sincerity, sensitivity, and honesty. This type of relationship takes time, effort, and planning. The primary goal of health professionals is to strongly encourage clients/patients to psychologically buy into the program and to invest time and energy in their long-term health. Your Task: Your action plan is intended to increase the client’s/patient’s intrinsic motivation and long-term adherence to the new habit/program. SMART Goals 1. Goal Setting: What short-term and long-term goals would you help C/P generate? How would you measure the achievement of these goals? (S) 2. Pretesting/Measurement: Would you pretest your C/P on specific measures (i.e. rehab mobility, fitness testing, etc…), if so, what will they be? How will tell if they are making progress? How will you indicate the measurement of your C/P’s adherence to the program? (MART) 3. Perceived Competence: Perceived competence is a vital element of long-term commitment to a new program. What program tools would you provide your C/P that would likely lead to increased perceived competence and success? 4. Motivational Theory/Theories: Which or What Motivational Theory do you believe will help your C/P? Explain why.

TVO documentary

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Watch the TVO documentary “Much Too Young”, feature version, approximately 85 minutes, and answer the following question.

https://www.tvo.org/video/documentaries/much-too-young-feature-version

 

1. Choose 2 of the 4 families featured and describe how each family’s lives were impacted by their loved one’s diagnosis
b) Provide 1 specific example for each of the 2 chosen families to support your responses
2. 2. Identify ONE responsive behavior UNIQUE to each of the 4 people featured in the documentary
b) Provide 1 specific example for each person’s behavior to support your responses
3.  Based on his symptoms, what type of dementia was Francoise diagnosed with?
b) What was unique about his type of dementia when compared to the others?

4. Identify 3 different ways Francoise’s’ communication was impacted
b) Provide 1 specific example to support each of your responses

Healthcare workers

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Primary Care in the North: Meeting the Challenge–Short documentary link

 

Some questions to consider:
1. What problems do people who live in Northern ON face when trying to access healthcare?
2. Access is a huge need. How do you deliver it?
3. What do you think are some pros or cons to having different healthcare workers, all under one
roof providing care simultaneously?
4. Why is it a good idea to try to keep people at home? How does foot care help this goal?
5. Comment on the idea that “It’s amazing what people will adjust to” when considering that these
mobile units just need space. Could you go for a  visit at yo/or a library?
6. Why is being “people” based or “population” based important? How did this shift in perspective
help set up this mobile care?
7. How does this mobile care unit avoid hospital care? Why is this important?
8. Typically when making decisions, one relies on data. How is this problem when planning for
healthcare in Northern Ontario?
9. How can entrepreneurial creativity play a role in delivering healthcare or overcoming some of
the challenges of our healthcare system?
10. Discuss your thoughts on “Population Health” and treating people, not illnesses. How does this
shift in focus change the delivery of health care?

Portfolio Representation

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A2A: Portfolio Representation of Learner and Healthcare Professional Task 1 in C464 Introduction to Communication represents me as a learner and a healthcare professional. Task 1 was about the need to change Utah’s sexual education curriculum. The task showed that as a healthcare professional, I want to help change the education my patients and the youth receive as it can affect their lives. The education they receive can have positive and negative outcomes, and as a healthcare professional, I want to make a difference. The task represents me as a learner because once I got passionate about the topic, I researched the state’s sex education, what prevented the changes in education, and what type of education teens needed. I learned many things I didn’t know about the sex education curriculum and what prevents our legislature from passing a new curriculum.

Vaccine registry

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n 350-450 words, respond to the following prompt. Be sure to have citations and references in your post

The vaccine registry in Texas (ImmTrac) brings together information submitted by physician offices, hospitals, and public health departments when they provide immunizations. These individual records are aggregated to give us a picture of the overall number of children who have been vaccinated in the State of Texas and the nation. Families can opt out of getting vaccinations for children by submitting a conscientious exemption, typically for religious reasons. This information can be very valuable during outbreaks of illness. Knowing where pockets of unvaccinated children live can help the Department of State Health Services focus its efforts. While vaccines are very safe, in rare instances there are adverse events. Because vaccines are often required to participate in public events (like school) it is important to continue to ensure their safety. Information about Notifiable Conditions helps the State of Texas track the number of people who become ill with Vaccine Preventable illnesses.

1) Visit The Infectious Disease Control Unit website at the Texas Department of State Health Services, and read about the following:?

  • Notifiable Conditions – https://www.dshs.texas.gov/idcu/investigation/conditionsLinks to an external site.
  • Electronic Laboratory Reporting – https://www.dshs.texas.gov/IDCU/investigation/ELR/Electronic-Laboratory-Reporting.docLinks to an external site.

2) Visit ImmTrac2 at the Texas Department of State Health Services and look over the conscientious exemptions data Links to an external site.

Post to the discussion board describing this data. Investigate the sources of the data. What are some factors impacting the quality and reliability/completeness of the data? Also, look at trends or points in the data. Why do certain counties have higher numbers of vaccine conscientious exemptions, especially varying rates in counties that are close together like Denton, Dallas, and Tarrant Counties?

Health care providers

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References and citations are formatted according to APA requirements.

  • Describe an Always Event that health care providers are expected to perform for every patient to enhance the quality and/or safety of the patient care experience.
  • Remember Always Events must meet four (4) criteria – Importance, Evidence-based, Measurable, Affordable, and Sustainable.
  • Unfortunately, adverse events happen, and the need for transparency and disclosure becomes extremely important. Describe one intervention that should be included when conducting an effective disclosure session with a patient.
  • Please add all links to the reference articles. Thank you

Risk for chronic disease

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Calculate Rodney’s BMI and explain how his waist circumference fits into his risk for chronic disease. Include in your response specific data, facts, examples, key terminology, and other information drawn from the textbook and at least one other supplemental source.

Rodney is 55 years old, stands 6′ tall, weighs 280 pounds, and has a 44″ waist circumference. He has always had a sedentary job and loves to cook. Both his mother and father are overweight, and his father suffered a heart attack at age 45. During his annual physical exam, Rodney’s doctor diagnosed him with metabolic syndrome and suggested that he may be a candidate for bariatric surgery, as his lab results and family history put him in the high-risk category of chronic diseases.