HCM 555 CSUGC Global Telehealth Telemedicine and Telehealth Presentation Health Medical Assignment Help

Select one of the case studies below for your assignment. In your discussion, be sure to evaluate the presence and effects of alterations in the homeostatic state secondary to gender, genetic, ethnic, and temporal variables.

Case Study Assignment Requirements

1. Make sure all of the topics in the case study have been addressed.
2. Cite at least three references in your case study paper; this may include peer-reviewed journal articles, textbooks, or evidence-based practice websites to support the content.
3. All reference sources must be within 5 years.
4. Do not use sources such as Wikipedia or UpToDate as a reference.
5. Assignments must have at least four full pages of analytic content, double-spaced (the cover and reference pages do not count in the page count, but must be included with the assignment), and follow APA 7th edition format.

Case Study 3: Disorders of Ventilation and Gas Exchange

Emmanuel and his mother live in an urban community housing complex. The building is worn down and dirty from the urban dust, cockroaches, and mold. Emmanuel is 5 years of age and has suffered from asthma for the last 2 years. One evening, his mother poured him some milk and put him to bed. Shortly afterward, Emmanuel woke up wheezing and coughing. As he gasped for air, he became more and more anxious. His mother ran for his inhaler, but he was too upset and restless to use it. Emmanuel’s skin became moist with sweat, and as he began to tire, his wheezing became quieter. His mother called 911 and waited anxiously for the ambulance to arrive.

1. Emmanuel uses a corticosteroid inhaler for the management of his asthma. What is the mechanism of action of this drug? How is its action different from the β₂-agonist inhalants?
2. Why does someone with severe asthma become physically fatigued during a prolonged attack? What are the physiologic events that occur during an attack?
3. One of the complications of respiratory fatigue is the development of hypercapnia. How does the body compensate for an increase in CO₂? What are the effects of hypercapnia on the central nervous system?

Create a 7-10 page report that will help the Director of Strategic Planning at a health care organization understand current trends related to service line management, leadership, patient experience, employee relations, and quality improvement.

In the current health care environment, patient satisfaction is a key metric by which reimbursement is determined. When organizations and leadership fail to consider the patient experience when planning organizational strategies, they risk losing income (via reimbursement) and business volume (via patients deciding to find new or alternate providers). While leadership may not interact with patients on a daily basis, there is a lot they can do to improve and impact the patient experience, which may include bringing patients and leaders together to better understand their experiences, creating a formalized definition of patient satisfaction, involving patients and families in improvement efforts, improving employee engagement, and ensuring staff are provided with regular customer service training.

Leadership is vital to every industry. Leaders are important catalysts in the organization’s ability to establish a vision, formulate a strategic plan, motivate staff, influence culture, and achieve business and department goals. Leaders within the organization who oversee daily operations can impact quality efforts through daily rounds, direct communication and contact with front-line staff, and follow-through with employees who voluntarily report safety and quality concerns.

As the transition from volume to value continues, health care organizations are implementing a variety of strategies to cut costs and improve quality. Included in these strategies is the management of clinical service lines. The goal of each service line should be focused on utilizing evidence-based medicine or clinical pathways to reduce care variation, resulting in improved patient experience and outcomes. Challenges to service line management include (but are not limited to) who will lead, what support they have from senior leadership within the organization, buy-in from clinicians, and information technology.

A popular management approach to service line management is the dyad model. This model utilizes a business leader who oversees and manages the operational aspects of the service line, as well as a physician leader who oversees the clinical practices. To be effective, the dyad model requires transparency and communication, which ultimately lead to trust and credibility with staff. Positive, productive working relationships in the service line are founded on trust, credibility, communication, and transparency. The benefit of this relationship can be seen in the roles working together toward setting and achieving a strategic vision. Working toward the strategic vision of the organization is advantageous as targets are met, tactics are completed, quality improves, and patients are satisfied with their experience.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

• Competency 1: Describe when and how the senior leader would directly impact health care operations.
  • Analyze the role of the health care leader in regard to organizational quality improvement.
• Competency 2: Analyze the impact of the various success factors of a health care organization.
  • Analyze health care leadership and its impact on patients’ experiences.
• Competency 3: Analyze the concept of competitive strength by considering efficiency and effectiveness of organizational processes.
  • Analyze service line management and the challenges associated with this organizational structure.
  • Explain the importance of employee and provider relations on the overall success of the organization from the service line perspective.
• Competency 4: Apply management concepts to lead an efficient health care system.
  • Explain implications for the organization if patient experience is not a strategic priority.
  • Analyze the pros and cons of leading the service line using the dyad management model.
• Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with health care professionals.
  • Write following APA style for in-text citations, quotes, and references.
  • Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

Preparation

This assessment focuses on various models, strategies, and concepts related to strategic planning, leadership, and organizational success. If you have not yet done so, it may be helpful to check your knowledge around these topics by completing the activity in the Leadership, Strategy, and Organizational Success section in Assessment 3.

Instructions

While not entirely unique, leadership in health care differs from that of other service industries. Several unique characteristics of the health care industry include rapid and constant change, reduced reimbursements, political scrutiny, heavy regulation, a diverse workforce, and being tasked with the health and well-being of those who patronize the facility (often requiring life-and-death decisions).

For this assessment, consider an organization (this can either be applied to your current place of practice or within the context of Vila Health) is three years into their ten-year strategic plan, and they are updating it to align with current industry practice and standards. The Director of Strategic Planning has asked you to research several topics related to service line management, leadership, patient experience, employee relations, and quality improvement, as these topics are top of mind for the staff, patients, payers, and regulatory agencies.

Include the following in your report:

• Analyze health care leadership and its impact on patient experience.
  • Discuss why the patient experience is a critical issue for health care operations.
  • Identify the senior leader’s role in impacting patient experience.
• Explain implications for the organization if patient experience is not a strategic priority.
  • Describe potential signs of patient dissatisfaction.
  • Identify areas that would be impacted.
• Analyze service line management and the challenges associated with this organizational structure.
  • Discuss service lines within the health care setting (for example, what they are, why they are formed, how they impact organizational success).
  • Discuss how clinical departments were managed prior to the development of service lines.
  • Describe the changes required in hierarchal structures to allow for more effective management.
• Analyze the pros and cons of leading the service line using the dyad management model.
  • Describe the cultural shift involved in adopting a dyad management model.
• Explain the importance of employee and provider relations on the overall success of the organization from the service line perspective.
  • Identify the support functions provided to a service line and the importance of these functions on its overall success.
  • Identify two resources (one must be culture) necessary for the service line director to be effective.
• Analyze the role of the health care leader in regard to organizational quality improvement.
  • Analyze the impact of quality management on the overall success of the organization and why leadership is critical to improving quality (for example, the importance of quality as a strategy and implications for the organization if quality is not managed).
  • Discuss the role the leader has in quality management (for example, culture, improvement cycles, identifying opportunities for improvement).
  • Discuss the benefit of management rounding as it relates to identifying and managing quality issues within the organization.

Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

• Apply the principles of effective composition.
• Determine the proper application of the rules of grammar and mechanics.

Write following APA style for in-text citations, quotes, and references.

• Determine the proper application of APA formatting requirements and scholarly writing standards.
• Assess the relevance and credibility of information sources.

Submission Requirements

• Written communication: Writing is clear, precise, scholarly, and free of errors that detract from the overall message. Concepts flow in a logical order.
• References: A minimum of three scholarly references.
• Length: 7–10 pages.
• APA: Correct use of APA style and formatting. Refer to the APA resources in the NHS Learner Success Lab (located in the courseroom navigation menu) if you have questions about APA style or formatting.
  • APA Style Paper Template [DOCX].
  • APA Style Paper Tutorial [DOCX].

Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process. Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.

The PICOT question will provide a framework for your capstone project change proposal.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Describe the problem in the PICOT question as it relates to the following:

1. Evidence-based solution
2. Nursing intervention
3. Patient care
4. Health care agency
5. 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.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Create a 5-7 page report that will help the Director of Quality Management at Vila Health to understand the current trend of patient satisfaction numbers, and propose potential solutions to any problems.

Demonstrating the organization’s ability to be respectful of and responsive to the needs of their consumers will in turn improve upon the quality and safety of the care being delivered, decrease costs, and increase provider satisfaction. Organizations that seek to remain relevant in the industry, improve business operations, continue to capture market share, and continue quality improvement efforts, should always be focused on establishing patient safety as an improvement priority. Patient safety should never fall off the improvement radar, as organizations can quickly suffer from the implications of declined satisfaction if they are not monitoring the needs of their consumers. Organizations that fail to prioritize patient satisfaction run the risk of losing business and reimbursements. Given that reimbursements are tied to patient satisfaction, quality, and outcomes, any organization wishing to remain relevant in the industry would make patient satisfaction a priority within their strategy.

The quality improvement team is a diverse group of individuals who are tasked with carrying out improvement efforts. The team should include individuals who will be impacted by the improvement efforts being worked on. With this in mind, several teams may exist and be working on a variety of improvement efforts simultaneously within the organization. Each team is responsible for addressing the improvement initiative and tracking its progress toward achieving the anticipated improvement.

Common tools utilized by the team include lean methodology, six sigma, DMAIC, value stream mapping, and fishbone diagrams. The fishbone diagram (also known as the cause-and-effect diagram) is a visual tool utilized to highlight potential causes of a problem, including delays in care, in order to determine the root causes (Kros & Brown, 2013). Lean methodology focuses on making rapid improvements toward the goals of delivering value, eliminating waste, establishing flow, and pursuing perfection. Reducing unnecessary and wasteful steps is key in creating a dramatic improvement in flow in the value stream resulting in improved efficiency and speed—the main goal of the methodology. DMAIC (define, measure, analyze, improve, and control) is a five-step process utilized in the six sigma method, which is focused on eliminating defects and waste, resulting in improved quality and efficiency (Kros & Brown, 2013). The data-driven strategy requires use of all five steps in order to ensure the best possible results.

Reference

Kros, J. F., & Brown, E. C. (2013). Health care operations and supply chain management: Operations, planning, and control. San Francisco, CA: Jossey-Bass.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

• Competency 1: Describe when and how the senior leader would directly impact health care operations.
  • Describe why leaders should select declining patient satisfaction as a performance improvement initiative.
• Competency 2: Analyze the impact of the various success factors of a health care organization.
  • Explain why patient satisfaction is an essential component of health care business.
• Competency 3: Analyze the concept of competitive strength by considering efficiency and effectiveness of organizational processes.
  • Complete a fishbone diagram of the situation presented in this assessment.
  • Describe the purpose of a performance improvement team.
• Competency 4: Apply management concepts to lead an efficient health care system.
  • Describe lean methodology.
  • Explain the DMAIC model for a data-driven improvement cycle.
• Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with health care professionals.
  • Write following APA style for in-text citations, quotes, and references.
  • Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

Preparation

This assessment is based on the Vila Health: Patient Flow media simulation, which is linked in the Vila Health: Patient Flow section of Assessment 2. Go to that section to complete the scenario at this time. The scenario presented in this media piece will provide you with the baseline information and context to create a report that addresses utilizing process improvement techniques and strategies to improve upon patient flow within and out of Independence Medical Center.

In addition to the information presented on fishbone diagrams and quality improvement strategies within the simulation, you may also want to conduct more in-depth research before create your report. You are encouraged to research topics on patient flow, DMAIC, patient satisfaction, and performance improvement teams.

Instructions

Based on the media simulation you completed, the Director of Quality Management has asked you, in your position in the quality assurance department, to create a report on the declining patient satisfaction at Independence Medical Center. In addition to your findings, you have been asked to present potential solutions and rationale for why these solutions are potentially relevant and valuable to pursue at IMC.

Include the following in your report:

• Explain why patient satisfaction is an essential component of a health care business.
  • Identify a competitive advantage of the organization depicted in Vila Health: Patient Flow.
  • Explain the organization’s strategic initiatives.
  • Explain why patient satisfaction is a strategy for this organization.
• Describe why leaders should select declining patient satisfaction as a performance improvement initiative.
  • Describe potential reasons for patient satisfaction decline.
  • Define a performance improvement initiative.
• Complete a fishbone diagram of the situation presented in the Vila Health: Patient Flow media piece.
  • Discuss the process to identify the top categories of an issue.
  • Describe how to organize the subtopics when producing a fishbone diagram.
• Describe the purpose of a performance improvement team.
  • Identify the positions or roles that are necessary to form a performance improvement team.
  • Describe the stakeholders that should be represented in a performance improvement team.
• Describe lean methodology.
  • Define lean methodology.
  • Determine what kinds of projects benefit from the use of lean methodology.
• Explain the define, measure, analyze, improve, and control (DMAIC) model for a data-driven improvement cycle.
  • Define the problem or scope that is depicted in Vila Health: Patient Flow.
  • Discuss what data you have to collect respective to the identified problem.
  • Define the root causes of the problem.
  • Determine the possible recommendations the team would offer.
  • Define possible recommendations and what would affect them.

Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

• Apply the principles of effective composition.
• Determine the proper application of the rules of grammar and mechanics.

Write following APA style for in-text citations, quotes, and references.

• Determine the proper application of APA formatting requirements and scholarly writing standards.
• Assess the relevance and credibility of information sources.

Additional Requirements

• Written communication: Writing is clear, precise, scholarly, and free of errors that detract from the overall message. Concepts flow in a logical order.
• References: A minimum of three scholarly references.
• Length: 5–7 pages.
• APA: Correct use of APA style and formatting. Refer to the APA resources in the NHS Learner Success Lab (located in the courseroom navigation menu) if you have questions about APA style or formatting.
  • APA Style Paper Template [DOCX].
  • APA Style Paper Tutorial [DOCX].