Assignment 3:  (20 points) Case Study Project- AMBULATORY SURGERY CENTER CASE STUDY (Power Point Presentation) .
In this project, students will apply the knowledge gained in this course to a case example.
Each student will select one of the scenarios below and develop a 10-12 slide PowerPoint presentation to discuss the current status of the organization, provide an overview of the organization, and make recommendations on how to manage the selected problem. You must include one or more slides that address the degree to which the Affordable Care Act might impact these services. Use APA formatting references and your reference slides. For this presentation, your title slide does not have to be in APA format.
Info on ASC’s here: 
SCENARIO OPTIONS. Pick one of the scenarios below. Your role is the manager in charge of an ambulatory surgery center (ASC). Restate the problem you are addressing. Make some logical assumptions. Make brief recommendations as to a reasonable solution to the problem in the scenario.
 
POINT OF CLARIFICATION:  You will use an established independent ASC for either of the four scenarios listed below.  Your presentation should be drafted as the administrator of the surgery center working to address one of the four scenarios.  In your response, please be sure to address all components of the scenario. 
 
 
 
*** I HAVE CHOSEN SCENARIO #3 and the ASC I have chosen is OTAY LAKES SURGERY CENTER***.
 
 
 
  

1)     One of the greatest challenges facing ASCs is maintaining and increasing volume. With all the external pressures, i.e. physicians pressured to become employees, mergers, decreasing payments from insurers, etc. – ASCs are challenged to keep physicians motivated to increase the number of cases and keep patients satisfied. What are some strategies you would use to increase referrals to your ASC while maintaining high patient satisfaction scores?
 
2)     Another challenge facing ambulatory surgery centers is the recruitment of new physicians. Following a national trend, many local hospitals and health systems are purchasing physician practices, which could eventually lead to doctors referring surgical cases to a hospital’s same day surgery department. Assuming there is ample opportunity to increase surgical volume, how do you intend to recruit physicians to practice via your ASC? What are some strategies/offerings you could employ? 
 
3)     The ASC you are currently managing is experiencing out of network challenges. Additionally, the proposed reimbursement rates from payers do not match Medicare rates for your market. Most of your ASC contracts are based on the Medicare fee schedule and because many of your surgeries are not on that schedule, you have to negotiate a fee schedule on a case-by-case basis. What strategies could you employ as you work with payors to contract for reasonable rates that could save you both money in the short term?
 
4)     In this changing environment, you are required to do more with less. Reimbursement rates are declining; supply and implant costs, taxes, utilities, rent, salaries and benefits and other operating costs are increasing and there are more regulatory requirements i.e., increased standards for accreditation (Joint Commission's additional requirements as an example), ICD-10, adoption of an EHR, etc. Additionally, your staff is wearing multiple hats; many working to register, bill, code, schedule and assist with back house operations. What strategies and tools can you implement to increase productivity, reallocate resources and boost employee morale?

What components do you think are the most successful in an emergency management system? Describe them, and tell why you feel these are the most important. Provide an example of a natural disaster in which you think these components are the most beneficial to response and recovery.

Purpose: Discussion (NP and APN Roles Comparison)

 

Thing to Remember:

 

   Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

   1 References, find resources that are 5 years or less

   No errors with APA format 6 Edition

 

Discussion: (NP and APN Roles Comparison)

Physician assistant’s verses Nurse Practitioners are both similar and different.  First thing is the viewpoints and attitudes towards healthcare, nurses take the nursing approach, where physician assistant’s take a medical style. (nursingjournal, 2017) “Nurse practitioners (NPs) work in a variety of settings. So do physician assistants (PAs). They can both be found in hospitals and clinics, from rural to urban practices. PAs care for a variety of conditions. So do NPs. They both treat illnesses, provide patient teaching and prescribe medications, often acting as the primary care provider.” (2011, January 09) Both professions are important and are needed to assist in the growing demand on health care.  They both have advantages and disadvantages.  NP’s are a little freer as in they can practice in their own clinic whereas PA’s need to have a medical doctor oversee their work. 

 

Nurse practitioners are considered part of the advance practice nursing core, but the difference between APN’s and NP’s is the path of specialty they go towards.  NP are often more of a general practitioner, where other APN’s specialize in areas such as mid-wife’s, or anesthesiology. “the clinical nurse specialist (CNS) role was created for the following reasons: (1) to provide direct care to patients with complex diseases or conditions; (2) to improve patient care by developing the clinical skills and judgement of staff nurses; and (3) to retain nurses who are experts in clinical practice.” (Hamric, 2014, p. 359) Many people if they do not feel like there is advancement in their job or profession will quit and move to another job, nursing is no different. Many nurses want to be recognized but do not necessarily want to go back to school to further their education.

References

Hamric, A. B., Hanson, C. M., Tracy, M. F., & OGrady, E. (2014). Advanced practice nursing: an integrative approach. St. Louis, MO: Elsevier/Saunders.

Http://nursejournal.org/, 2. N. (n.d.). Nurse Practitioner Vs. Physician Assistant. Retrieved June 22, 2017, from http://nursejournal.org/nurse-practitioner/np-vs-physician-assistants/

Nurse Practitioner vs. Physician Assistant. (2011, January 09). Retrieved June 22, 2017, from http://www.washingtonpost.com/wp-dyn/content/article/2011/01/07/AR2011010704936.html

 

Purpose: Discussion (NP and APN Roles Comparison)

 

Thing to Remember:

 

   Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

   1 References, try to find resources that are 5 years or less

   No errors with APA format.

 

Discussion: (NP and APN Roles Comparison)

APN (Advanced Practice Nurse) is an advanced degree in nursing programs. APN specialization considers of four main areas Nurse Practitioner (NP), Certified Nurse Anesthetist (CRNA), Clinical Nurse Specialist (CNS), and Certified Nurse Midwife (CNM).NP (nurse practitioner) is a path of APN. The main differences between both are NP can work independently in the clinic as well as they can practice privately at private health care. NP salary is high compared to APN. NP minimum qualification is Master of Science in Nursing after which Doctor of Nursing Practice can be done in future (Darwin, 2006). To qualify APN Master Degree in nursing is must qualify for APRN specialization exams. Duties of NP Consist of taking health histories, assess diagnose, treat chronic illness. APN duties depend upon the specialization being taken for example Nurse Midwives the main focus is on women Healthcare, Nurse Anaesthetists’ wok on surgical settings. NP can prescribe medicine to the patient while In APN some but not all of them are authorized to prescribe medicine. NP certification is provided by American Nurses Credentialing Center (AN CC) and the American Academy of Nurse Practitioners. The nurse has to register with the board of nursing when they want to work. Certification for Nurse Practitioners, Clinical Nurse Specialists is available from the American Nurses Credentialing Center (ANCC). Nurse Anesthetist’s certification is available from the National Board of Certification & Recertification for Nurse Anaesthetists (NBCRNA). Nurse Midwives Certification is available from the American Midwifery Certification Board (AMCB).

A Physician Assistant (PA) is a medical professional who works with the doctor team (Hamric, 2014).Physician Assistant is nationally certified and state-licensed to practice medicine with the supervision of a physician. Personal Assistant is required to take 100 hours of medical education classes every two years and required to take certification every six years. Nurse Practitioners & the physician assistants hold an important place in the healthcare systems which are involved in the direct patient care.  In the case pf physician assistants, they are allowed to practice independently; however, the Nurse practitioners are allowed to give direction but not allowed to practice independently or without administration (Lincoln, 2000). Usually Nurse Practitioners & the physician assistants (PA) both are able to help intervene & diagnose the correct root cause of the problem, can treat the sickness with the help of prescribed medication but the Nurse Practitioners (NP)  will have to apply to a state level in order to add to the responsibilities to their duties such as prescribing of medication. In between the NP’s & PA’s the main highlighted difference is the training involved while the NP’s are supposed to adhere to the training program of the nursing model but the PA’s are supposed to get training in line with the medical model. The stress of the nursing model is based upon the serving & catering to patients while in the medical model the main emphasis lays on the disease pathology.

 

Reference

Darwin, L. (2006). CNS and NP role activities: . Clinical Nurse Specialist, 69-277.

Hamric, A. B., Hanson, C. M., Tracy, M. F., & O'Grady, E. T. (2014). Advanced practice nursing: An integrative approach (5th. ed). St. Louis, MO:: Elsevier.

Lincoln, P. E. (2000). Comparing CNS and NP role activities: A replication. Clinical Nurse Specialist, 14 (6), 269-277.

 

Background: You are part of a team that will be implementing an asset tracking and management software application. Choose an organization with which you are familiar for this assignment.

Create a 3- to 4-page technical architecture document defining the following:

  • Hardware platform: Describe the hardware environment to support the development and production of this system.
  • Network connections: Show the network connections required to support this application in the organization you have selected for implementation. Create a network diagram using Visio®.
  • Database information: An Entity-Relationship Diagram (ERD) is expected for customer data covering managed and tracked assets and who has been assigned each asset. Create an ERD using Visio®.
  • User interfaces: Describe the interface for data collection and notification for asset tracking to management and employees.
  • Controls: Describe the controls to make sure the asset information is accurately maintained and the assignment activity is accurately captured and reported.
  • Security: Describe the security measures to protect the information contained in the asset management and tracking system.

Using Microsoft Excel® or Project (if you have it), plan a sprint to manage the completion of this work. Document your sprint plan in Microsoft Excel® or Project.

The idea of Gardner’s Theory of Multiple Intelligences suggests that there are specific intelligences that are inherent in all individuals. The author, however, suggests that a preferred style may not necessarily be the best way an individual learns. With that in mind, what relevance do you see using the intelligences in your classroom in light of the fact that an individual’s preferred intelligence may not be the best way for them to take in and master new information?  Outside of the classroom, what purpose do the intelligences serve in the way you interact with people at work or with friends?

A-6
Unit 6 Assignment

Instructions Summary: Click here for full details.

Short Paper: International Comparison

Write a 3 page paper (excluding the title and reference pages) that addresses the following:

Compare and contrast the justice system of a foreign country with that of the United States.

Be sure to address three of the following issues in your essay:

  1. Substantive Law
  2. Procedural Law
  3. Judicial Review
  4. Policing Systems
  5. International Police Cooperation

You should consult outside sources to ensure that you thoroughly address each issue.

 

Purpose: Discussion

Thing to Remember:

 

   Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

   1 References, find resources that are 5 years or less

   No errors with APA format 6th Edition

 

Discussion: 

Physician assistant’s verses Nurse Practitioners are both similar and different.  First thing is the viewpoints and attitudes towards healthcare, nurses take the nursing approach, where physician assistant’s take a medical style. (nursingjournal, 2017) “Nurse practitioners (NPs) work in a variety of settings. So do physician assistants (PAs). They can both be found in hospitals and clinics, from rural to urban practices. PAs care for a variety of conditions. So do NPs. They both treat illnesses, provide patient teaching and prescribe medications, often acting as the primary care provider.” (2011, January 09) Both professions are important and are needed to assist in the growing demand on health care.  They both have advantages and disadvantages.  NP’s are a little freer as in they can practice in their own clinic whereas PA’s need to have a medical doctor oversee their work. 

Nurse practitioners are considered part of the advance practice nursing core, but the difference between APN’s and NP’s is the path of specialty they go towards.  NP are often more of a general practitioner, where other APN’s specialize in areas such as mid-wife’s, or anesthesiology. “the clinical nurse specialist (CNS) role was created for the following reasons: (1) to provide direct care to patients with complex diseases or conditions; (2) to improve patient care by developing the clinical skills and judgement of staff nurses; and (3) to retain nurses who are experts in clinical practice.” (Hamric, 2014, p. 359) Many people if they do not feel like there is advancement in their job or profession will quit and move to another job, nursing is no different. Many nurses want to be recognized but do not necessarily want to go back to school to further their education.

References

Hamric, A. B., Hanson, C. M., Tracy, M. F., & OGrady, E. (2014). Advanced practice nursing: an integrative approach. St. Louis, MO: Elsevier/Saunders.

Http://nursejournal.org/, 2. N. (n.d.). Nurse Practitioner Vs. Physician Assistant. Retrieved June 22, 2017, from http://nursejournal.org/nurse-practitioner/np-vs-physician-assistants/

Nurse Practitioner vs. Physician Assistant. (2011, January 09). Retrieved June 22, 2017, from http://www.washingtonpost.com/wp-dyn/content/article/2011/01/07/AR2011010704936.html