Nova Southeastern University Middleboro Community Hospital Case Summary

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Read Case 5: Middleboro Community Hospital in this week’s Learning Resources, and consider the actions taken by this organization. Review data tables regarding their case mix (top DRGs), Patient Days, and CMS Core Measures. These metrics address both qualitative and quantitative measures in this organization.

https://class.content.laureate.net/cbbe176d3ff59d8…

https://class.content.laureate.net/3f2056f0e262d57…

The Assignment:

Write a brief, 2-page executive summary of the impact of the transition from volume-based to value-based health care. Specifically, address how this change in reimbursement methodology impacts operational requirements and how it can be implemented. Recommend at least two adjustments to operations which may position the organization for success under value-based health care.

Grading Rubric

EXCELLENT GOOD FAIR POOR
Impact of the Transition from Volume-Based to Value-Based Health Care

Points:

Points Range: 18 (36%) – 20 (40%)

The Executive Summary shows depth, breadth, triangulation, and clarity in critical thinking when applying the impact of the transition from volume-based to value-based health care to the case study.

Feedback:

Points:

Points Range: 16 (32%) – 17 (34%)

The Executive Summary fully addresses the impact of the transition from volume-based to value-based health care to the case study. Triangulation was attempted but not fully shown.

Feedback:

Points:

Points Range: 14 (28%) – 15 (30%)

The Executive Summary lacks depth, breadth, triangulation or clarity in critical thinking when applying the impact of the transition from volume-based to value-based health care to the case study.

Feedback:

Points:

Points Range: 0 (0%) – 13 (26%)

The Executive Summary does not address (zero points) or poorly addresses the impact of the transition from volume-based to value-based health care to the case study.

Feedback:

Recommendations

Points:

Points Range: 18 (36%) – 20 (40%)

The recommendations for adjusting operations to meet value-based health care show depth, breadth, triangulation, and clarity in critical thinking.

Feedback:

Points:

Points Range: 16 (32%) – 17 (34%)

The recommendations fully address how to adjust operations to meet value-based health care. Triangulation was attempted but not fully shown.

Feedback:

Points:

Points Range: 14 (28%) – 15 (30%)

The recommendations for adjusting operations to meet value-based health care lack depth, breadth, triangulation, or clarity in critical thinking.

Feedback:

Points:

Points Range: 0 (0%) – 13 (26%)

The recommendations do not address (zero points) or poorly addresses how to adjust operations to meet value-based health care.

Feedback:

Writing

Points:

Points Range: 9 (18%) – 10 (20%)

The Executive Summary is well organized, uses professional tone, contains original writing and proper paraphrasing, contains very few or no writing and/or spelling errors, and is fully consistent with graduate level writing style. The work is supported by the Learning Resources and more than three additional scholarly sources. The Executive Summary is 2 pages plus a title and a reference page.

Feedback:

Points:

Points Range: 8 (16%) – 8 (16%)

The Executive Summary is mostly consistent with graduate level writing style and may have some spelling and writing errors. The work is supported by the Learning Resources and at least three additional scholarly sources. The Executive Summary is 2 pages plus a title and a reference page.

Feedback:

Points:

Points Range: 7 (14%) – 7 (14%)

The Executive Summary is somewhat consistent with graduate level writing style and may have some spelling, and writing errors. The work is supported by the Learning Resources and less than three additional scholarly sources. The Executive Summary is not 2 pages plus a title and a reference page.

Feedback:

Points:

Points Range: 0 (0%) – 6 (12%)

The Executive Summary is well below graduate level writing style expectations for organization, professional tone and writing, or shows heavy reliance on quoting. The work is not supported by the Learning Resources or additional scholarly sources. The Executive Summary is not 2 pages plus a title and a reference page.

 
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Lab: Reproductive Structures in a Flower, biology homework help

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Pre-Lab Discussion:

Flowers are the reproductive organs of angiosperms, or flowering plants. Flowers vary in size, color and arrangement. All flowers, regardless of variety, have the function of seed formation and are responsible for the production of more plants. Flowers contain both non-reproductive and reproductive structures.In this investigation you will examine a flower and identify its non-reproductive parts and its reproductive parts. You will also observe the male and female sex cells produced by a flower underneath a microscope.

Problem:

How is a flower adapted for sexual reproduction?

Hypothesis:

answer of the problem

Data Table:

Flower name

Number of Sepals

Color of Sepals

Number of Petals

Color of Petals

Tulip

6

Pinkish & yellow

Analysis:

A. List the function of each of the following parts and note whether the parts comprise the pistil or the stamen.

1 –anther 2 –filament 3 –ovary 4 –ovule 5 –pollen 6 –stigma 7 –style

B. Why does a flower have more pollen grains than ovules?

C. Explain why heavy rainfall on a fruit orchard in the spring might result in a poor fruit yield in the fall.

D. For what biological reason might farmers object to people picking apple blossoms during the apple blossom season?

E. Flowers that are pollinated by the wind have smaller petals and sepals than flowers that arepollinated by insects or animals. Why are small petals and sepals an advantage to these flowers?

F. Why do flowers that are pollinated by insects have large, brightly colored petals?

Conclusion:

Conclude the hypothesis and identifies sources of error as they relate to results

 
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20 questions biology

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1)
 Proteins are composed of chains of _____________ which are joined together with peptide bonds.
A)
B)
C)
D)

2)
 Channels within the structure of the cell membrane are composed of
A)
B)
C)
D)

3)

 The central vacuole in a plant cell is responsible for turgor pressure. When the vacuole loses water the cytoplasm “shrinks”. When the vacuole gains water the cytoplasm seems to “puff up”. One structure helps the plant cell keep its shape no matter how much water is in the vacuole. This is the
A)
B)
C)
D)

4)
 Proteins are
A)
B)
C)
D)

5)

 The organelle identified in the picture as #10 helps the cell maintain homeostasis in what way? This organelle is the 
smallerwhite circularly shaped organelle found in the top middle of the image.
A)
B)
C)
D)

6)
 Aquatic salamanders and tadpoles obtain oxygen from water when it passes over the gill filaments.

Which condition would lead to maximum absorption of O
2 by the gills?
A)
B)
C)
D)

7)

Cell Organelles

Organelle/Part Where found Function
Cell membrane All cells Support Protection Controls movement of materials in/out of cell Barrier between cell and its environment Maintains homeostasis
Cell wall Plant, Fungi, & Bacteria, Support (grow tall) Protection
Cytoplasm All cells Supports and protects cell organelles
Nucleus All cells except prokaryotes Controls cell activities Contains the hereditary material of the cell
Mitochondria All cells except prokaryotes Site of aerobic cellular respiration
Ribosome All cells Site of protein synthesis
Chlorplast Plant cells, some prokaryotes Site of photosynthesis
Vacuole Plant and animal cells Store food, water, metabolic & toxic wastes Store large amounts of food or sugars in plants
Lysosome Common in animal cells Breaks down larger food molecules into smaller molecules Digests old cell parts
Flagella Some bacteria, protists, and animal cells Movement

 You are running on the school’s cross country team. We would expect your 
muscle cells to contain many ____________ to produce cellular energy.
A)
B)
C)
D)

8)
 Transport of materials into a cell against a concentration gradient, from low to high, requires
A)
B)
C)
D)

9)
 Which of these organic molecules functions to help speed up biological chemical reactions?
A)
B)
C)
D)

10)
 A ___________ chain is a sequence of amino acids that is the foundation for the basic structure of a protein.
A)
B)
C)
D)

11)
 Which compound is a reusable, complex protein that speeds up chemical reactions?
A)
B)
C)
D)

12)

The diagrams show different stages of cell division in the somatic cells of a plant. The stages are not shown in order. 

 Which statement correctly lists the order of the stages?
A)
B)
C)
D)

13)

 The picture shows an experimental set up for the process of osmosis.

The potato has a cavity on top, as shown in the picture. Some sugar solution is poured into the cavity and the potato is placed in a beaker of water. After some time, it is observed that there is a rise in the level of liquid in the cavity. This confirms that
A)
B)
C)
D)

14)

 The process of _____________ is modeled in the plant cell diagrams seen here.
A)
B)
C)
D)

15)

Characteristics of RNA

Student Deoxyribose Ribose Thymine Uracil
Student 1 No Yes No Yes
Student 2 Yes No No Yes
Student 3 No Yes Yes Yes
Student 4 Yes No Yes No

 Four students are asked to list characteristics of RNA in a table as part of an assignment. Which student listed the characteristics correctly?
A)
B)
C)
D)

16)
 What is the function of a cell’s selectively permeable plasma membrane?
A)
B)
C)
D)

17)

Cell Type Dichotomous Key

1a cell has a nucleus and organelles → go to # 2

1b cell has no nucleus or organelles → bacterial cell

2a cell has a cell wall → go to # 3

2b cell has no cell wall → animal cell

3a cell has chloroplasts → plant cell

3b cell has no chloroplasts → fungal cell

 What type of cell is C?
A)
B)
C)
D)

18)
 Bacteria cells have no
A)
B)
C)
D)

19)
 ___________ can be used by cells to store energy, form biological membranes, and serve as chemical messengers.
A)
B)
C)
D)

20)
 In cells, the production of proteins is handled by the ribosomes and endoplasmic reticulum, while the processing and packaging of proteins is handled by the _________ body.
A)
B)
C)
D)

 
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Applying Nursing Research to Practice Paper

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Overview

Imagine you are on a team at your workplace and have identified a new best practice to implement. In this assignment, you will describe the steps of implementing this new practice. This will require you to do some research of your own about how change comes about in your workplace. You will need to check your policies and procedures and may need to talk with a supervisor with experience in this area. You will need to support your thoughts on why you think a change needs to occur. This should be done by using the literature. I am a Labor & Delivery nurse. I am also trained in our Level 2 Nursery/ Speical Care Nursery.

Objectives

  • Differentiate among research, research utilization, and evidence-based practice
  • Identify the steps of evidence-based practice

References

Minimum of four (4) total references: two (2) references from required course materials and two (2) peer-reviewed references. All references must be no older than five years (unless making a specific point using a seminal piece of information)

Style

Unless otherwise specified, all the written assignment must follow APA 6th edition formatting, citations and references.

Number of Pages/Words

Unless otherwise specified all papers should have a minimum of 600 words (approximately 2.5 pages) excluding the title and reference pages.

  • Using Nursing Research

Click here to download the article

 
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developing a proposal

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Choose two issues or challenges that the leaders of today’s health care organizations face. Select from among the following topics:

  1. Staff Shortage (Physicians, Nurses, Allied Health Providers, Ancillary Services)
  2. Reorganization in Response to Merger or Consolidation of Services
  3. Layoffs as a Result of Declining Revenues
  4. Influx of Registry, Part-Time, and Temporary Contract Staff
  5. Poor Performance Outcomes Leading to a Reduction in Medicare Reimbursement Dollars
  6. Poor Job Satisfaction Rates Resulting in Turnover

You are the manager of an ancillary service department at a large, 500+ bed hospital. Develop a proposal (750-1,200 words) that is directed toward your staff, in which you address the following:

  1. Inform the staff of the two issues (from the topics provided) your organization is facing.
  2. Describe the impact of these issues on your department.
  3. Describe how improved communication, collaboration, and teamwork can improve conditions in your department.
  4. Identify at least two examples from the required or recommended readings of techniques found to foster inclusion and improve communication and collaboration.
  5. A minimum of three academic references from credible sources are required for this assignment.

Prepare this assignment according to the APA guidelines found in the APA Style Guide,

 
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CSU Global Phases of Strategic Analysis Research and Implementation PPT

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Part 1

Students should provide the instructor with an annotated bibliography for four to five scholarly resources that will be used in support of the Portfolio Project in Module 8. In this instance, instead of submitting a paper, each reference can be a bulleted slide for each reference (the annotation for each reference should be found within the speaker notes or on the slides themselves). Each source referenced should be accompanied by a brief (approximately 150 words) descriptive and evaluative paragraph clarifying why the reference is included in the student’s research. The annotation should inform the reader of the relevance, accuracy, and quality of the sources cited.

Part 2

PowerPoint: Phases of Strategic Analysis, Research, and Implementation

Students should be able to demonstrate an understanding of the application of phases of organizational strategic analysis, research, and implementation. This milestone will provide perspective concerning how integration and application of these phases inform their approach to the Portfolio Project case study which will be due in Module 8.

As you have been conducting/working on your capstone project, you have used analytical tools, conducted research, and analyzed possible barriers towards implementation of your proposed plan. Your goal is to explain how you have applied/intend to apply these concepts to build your capstone project.

  1. Analysis: Select one type of analytical method learned in this class. Explain how you would use this to arrive at one of your decision(s) in the capstone project.
  2. Research: Select one type of research method learned in the class or prior classes. Explain how you would use this to arrive at one of your conclusion(s) in the capstone project.
  3. Implementation: Select one type of implementation barrier you may face when implementing your capstone project. Explain how you would address this implementation barrier.

Submit a 3-4 slide PowerPoint presentation that demonstrates an understanding of the various phases of organizational strategic analysis, research, and implementation. The slides should provide perspective concerning how these phases inform their approach to the Portfolio Project case study which will be due in Module 8.

At least three of the sources cited in your annotated bibliography should be included in this submission to show evidence of research being applied in the final project (new references might also be used as well).

The presentation should be well-written and meet the following requirements:

  • 3-4 slides in length (excluding title and reference pages),

Include at least three current references from peer-reviewed articles. The CSU-Global Library is a good place to find peer-reviewed articles.

Part 3

Stand-Alone Hospital or Another Healthcare Organization

For this project, you are to evaluate an existing strategic initiative, or program (e.g., addition of a hospital wing, opening of a new location, closing of an existing branch) for an actual/real stand-alone hospital or other independent healthcare organization (you may select a hospital, large medical group, nursing home, or an ambulatory care facility) within your community.

For the purpose of the assignment, assume that you are the Director of Strategic Planning for this organization, and the CEO has assigned you the responsibility for assessing (1) where the program is in its life cycle and (2) making an informed decision as to the best way forward strategically; i.e., should the organization expand the program, continue the current strategy it employs, change certain aspects of operational strategy, fully maintain the program as is, merge the program with an existing one, or close the program? The summary of your assessment will be presented to the Board of Directors, CEO, COO, and CFO.

Write a paper that proposes the process you would implement for assessing this project.

The paper should include the following:

  • Executive Summary
  • Introduction:
    • A brief description of the current program.
    • Alignment with the organization’s mission, vision, and goals that support the project.
  • Assessment: An evaluation of various factors that affect the feasibility and project development.
    • Justification for the project via a robust assessment of the internal and external environment, using at least two tools discussed in our course; such as SWOT+PEST, Five Forces, BCG, etc.
    • Consideration of organizational restrictions and constraints, mission, vision, values, capabilities, strengths, and weaknesses.
    • Consideration of organizational issues, context, and multiple perspectives and dimensions are considered.
  • Implementation: Provide a summary of your recommendations and strategies for implementation.
    • Realistic strategies and tactics identified with sufficient detail.
    • Articulates the who, what, when, where, and why.
    • Considers organizational restrictions and constraints, mission, vision, values, capabilities, strengths, and weaknesses.
    • Relevant forces are adequately considered.
  • Program Evaluation: A brief discussion of how you will evaluate and benchmark the project post-implementation.
    • Specifies measures that would be tracked and trended post-implementation to ensure the action was effective and efficient.
    • Organizational issues, context, and multiple perspectives and dimensions are considered.
  • Infographic depicting the various strategic development stages you will employ, as learned in Module 5
  • Conclusion: This brief summary should pull together your assessment and recommendations and leave the audience with a clear sense of your results and the next steps in light of the overall vision of the organization.

The paper should be:

  • 8-12 pages (not including the required cover and reference pages),
  • Be supported with a minimum of seven recent (within the past three to six years), scholarly sources to substantiate your position in the matter,
  • Be formatted to APA 6th
  • The Infographic should be on one page. It should have notes within or an addendum highlighting the various aspects of strategic analysis that you undertook.
 
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Nutrition assignment

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Choose a food item that you ordinarily consume, and analyze the Nutrition Facts Panel (including the ingredients) to determine its nutritional quality [see the “Tools of a Healthy Diet” lecture]. Based on your analysis, decide whether this is a healthy choice or not. If you decide that this is not a nutritious food, could you recommend a substitute in your diet? This should be a 1-page report (max), submitted to the assignment Make sure to include a copy of this food’s Nutrition Facts Panel (including ingredients). If you are unable to attach the label electronically, you can send me a typed version of the label along with your report.

For this assignment, do not just regurgitate the nutrition facts label of your product (i.e. “this product has 100 calories and 5% of vitamin A). That can simply be read off the label itself. When completing this assignment, ask yourself:

“Can any nutrient claims be made about this product?” “What’s the most abundant ingredient?” “How much of this product is made up of sugar or saturated fat,” “How much salt is in this product”, “Do I recognize these ingredients as something Mother Nature made or something that sounds like it came from a chemistry class?” You should show me that you know how to calculate percentages (discussed in lecture). The daily value % (DV% listed on the nutrition facts label) is not the same as what % of this product is made up of sugar, fat, etc…

 
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1- Define Vulnerable Population 2- Identify one vulnerable population and discuss 3- one physiological and one psychological factor that have contributed to their vulnerability

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1-Define Vulnerable Population

2-Identify one vulnerable population and discuss

3-one physiological and one psychological factor that have contributed to their vulnerability.

The initial posting and the response to peer posting each require one reference from a peer-reviewed NURSING journal must be less than 5 y/o. The references must be from different journal articles.

Professional, governmental, or educational organizations (.org, .gov, or .edu) may be used as supplemental references.

 
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Affordable care law, health and medical assignment help

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For your project, analyze the Affordable Care Law in a 9-10 page paper not including the title or references pages. In your analysis you will need to address the following:

  • How all three branches of government were involved in its creation, and the issues associated with their involvement.
  • The role of public opinion and lobbying groups and their impact on the laws development
  • The balance of markets and their participation in the program
  • The concepts of equity, efficiency, and effectiveness and their role in the law and its passage
  • The initial anticipated effects on cost, quality, and access and whether the projections were correct or incorrect
  • The anticipated effects on Medicare and the aging as well as Medicaid and the poor.

Your paper must utilize 4-5 scholarly sources from the CSU-Global Library. You may not use the required readings from the course. You may use sources from reliable public media.

All assignments must be formatted according to CSU-Global Guide to Writing and APA Requirements.

Review the Capstone Grading Rubric in the Module 7 folder.

Preliminary Deliverables that will be factored into your Capstone Project:

  • For Module 1, you will post any questions about the content or requirement of the Capstone assignment to the questions thread. If you have no questions, acknowledge that you have read the assignment by responding to the appropriate discussion thread. (5 points)
  • In Module 2 you will submit your assignment option choice for your Capstone Project (5 points)
  • In Module 3, you will submit an annotated bibliography for your project. (10 points)

In Module 6, you will submit a first draft of the Capstone Project with a properly APA-formatted bibliographic list of the sources for that project (20 points). First drafts should be 4-5 pages in length for Option 1 or 7-10 presentation slides for Option 2.

Additionally, you will be expected to account for the instructor’s feedback in each draft and the final version of the assignment.

 
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U.S. government publications, engineering homework help

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could you follow the steps and send me the link

1-You are going to produce a report on the subject given below about some of the most important inventors and scientists of our time. It must fully comply with APA format (other than the title page and abstract).This is an individual report but two students may have the same subject. This is not a group project.Here are the instructions.

James Watt
2-The length of the paper excluding cover page and original

assignment page should be between 4-10 pages.

3-Your paper needs to have at least8unique resources, not more than 2 can be from internet, a video and a document.Others can be from textbooks, professional journal,magazines, newspapers,

U.S. government publications, CDs, etc. Again not more than 2 from each group, and not from the
same names. For example, if you cite an article from BaltimoreSun, no other resource

should be used from Baltimore Sun.

4-For every resource,you need to take a picture of yourself with that resource and include it in your report. If it is a book from library,then a picture of you and that book.If it is a page from Internet, a picture of you and the monitor screen and so on.

5-Your report should have at least one chart and one table that you have made using data that you have collected yourself.You can use Excel to create your chart (like a pie chart, histogram, etc.) but the table needs to be done using MS Word.

 
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