Category: Health & Medical

CASE OF THE BELATED LAB TESTS
PROCESS IMPROVEMENT OPPORTUNITY – PART 3 (sub parts A and B)
The Team went back to the data collection forms and created this data table of Phlebotomy turnaround times.
KEY:
TAT – turnaround time
MF – Monday through Friday
SS – Saturday and Sunday
D- Day
E – Evening
N – Night
SPECIMEN
TAT
TEST
DAY
SHIFT
FLOOR
1
1.5
CBC
MF
D
3B
2
2.0
LYTES
MF
D
3A
3
4.0
CBC
MF
E
3B
4
.5
BUN
SS
E
4B
5
4.5
LYTES
SS
D
4B
6
1.0
GLC
MF
D
4A
7
3.5
CBC
MF
E
3A
8
2.0
LYTES
MF
D
4C
9
4.5
CBC
MF
N
3B
10
2.5
CBC
SS
D
3C
11
5.5
CBC
MF
E
4B
12
1.0
BUN
MF
D
3A
13
4.5
LYTES
MF
E
3B
14
2.0
GLC
MF
E
3B
15
4.5
GLC
SS
N
4A
16
4.5
CBC
MF
D
3A
17
1.5
LYTES
MF
D
3A
18
2.0
BUN
MF
D
4B
19
5.0
GLC
SS
N
4C
20
2.5
CBC
MF
D
3C
21
4.5
GLC
SS
N
4A
22
3.0
CBC
SS
E
4C
23
0.5
LYTES
MF
N
3A
24
5.0
LYTES
MF
D
3C
25
0.5
CBC
MF
D
4B
26
1.0
LYTES
MF
D
4C
27
4.0
LYTES
MF
E
4A
28
1.5
CBC
SS
E
3C
29
1.0
BUN
MF
N
4C
30
4.0
GLC
MF
D
3A
31
2.0
GLC
SS
D
3C
32
3.0
CBC
MF
D
4B
33
2.5
LYTES
SS
D
3C
34
2.0
GLC
MF
E
4A
35
5.0
CBC
SS
D
3B
36
1.0
CBC
MF
D
4C
37
1.5
LYTES
MF
E
3C
38
4.5
BUN
MF
N
3B
39
2.0
CBC
MF
D
3C
40
4.0
LYTES
MF
N
4A
41
2.0
LYTES
MF
E
4B
42
3.5
CBC
MF
D
3A
43
2.5
BUN
MF
D
3C
44
1.5
GLC
MF
N
3A
45
4.5
BUN
SS
N
3B
46
1.5
CBC
MF
D
4C
47
3.0
BUN
SS
D
3A
48
2.0
GLC
MF
E
3C
49
4.0
CBC
MF
N
3C
50
1.0
LYTES
MF
N
4B
51
2.0
CBC
SS
D
3C
52
5.0
LYTES
MF
D
4A
53
2.0
GLC
MF
D
3C
54
4.5
GLC
SS
E
4B
55
2.5
GLC
MF
E
4B
56
2.0
LYTES
SS
D
3A
57
5.0
CBC
MF
N
3B
58
2.5
BUN
MF
D
3C
59
1.5
GLC
MF
N
4C
60
2.0
CBC
MF
D
4A
61
4.5
BUN
MF
D
4C
62
0.5
LYTES
SS
E
3C
63
4.5
CBC
MF
N
4A
64
3.0
CBC
MF
D
3C
65
2.0
GLC
MF
E
3A
66
4.0
GLC
SS
E
3C
67
2.5
LYTES
MF
D
3C
68
3.5
GLC
MF
D
4C
69
4.5
LYTES
MF
E
4B
70
1.0
CBC
SS
D
4B
Assignment 6-Part A:
Put this data into an Excel spreadsheet and create multiple graphs that will show the relationship between TAT and the other factors.HELPFUL HINTS: TAT should be your vertical side of the graph. You will want a graph with Test, Shift, Day and Floor data displayed on the horizontal side of your graph. You will create 4 separate graphs.You want the graphs to actually tell you something – they should show exactly where there are issues.
The first graph is comparing the type of tests, so you need to separate the data out by Test. You should find an average TAT for each type of test and put that in a table and graph it and see if it gives you some good information. So up the side you would have TAT and across the bottom you would just have 4 bars – one for each type of test.
Same thing for day of the week data. Average the TAT for MF and average the TAT for SS and put that into a table and graph it. So again the TAT will be up the side and then you will have two bars, just one for MF and one for SS. This way you can see if there is a difference in the TAT for these two. You will do the same with shift and floor.
There is an example with pretend numbers available to you
Describe what your graphs are showing you.
After viewing the graphs the team decides they need more information about the night shift……..
Interview With the Night Phlebotomist
Preface: The team decided a visit to the night shift or a discussion with the night phlebotomist (Dave Stick) would help to find some answers. The Assistant Administrator (Lotta) volunteered to talk to Dave. The Quality Advisor (Tom) thought it would be a good idea to join her.
——–CURTAIN UP—————–
Lotta: We have a big problem with the turnaround time for urgent lab tests here at the hospital, and the Quality Council has put together a PI team to work on this. Since the lab is part of my organization, I’m the team leader. We’ve studied this problem and found that blood-drawing for urgents on the night shift takes too long. We set up this meeting with you today to find out what’s going on.
Dave: What’s the Quality Council?
Lotta: It’s the hospital management, and they’re really concerned about urgent test turnaround times. Can you tell us why phlebotomy takes so long at night?
Dave: (getting defensive) I don’t know. Why don’t you talk to the floor secretaries? I hear they’re always slow at night. It’s certainly not my fault!
Tom: Maybe we should explain things a little more. There’s something about the process of drawing urgent specimens at night that seems to take longer than on the other shifts. We think there may be something different about the process and maybe we could think of ways to improve it if we understood it a little better. You’re the expert, so we’re talking to you. Could you help us understand what you do?
Dave: (relaxing a little) Well, everything’s different around here at night. You should come and visit us some time. I’m the only phlebotomist on duty and I’m on the run all the time. There used to be two of us, but, then there was the last round of cut backs. I think we need more night staff! You should tell THAT to your Quality Council!
Tom: You might be right – we may end up hiring more staff, but we can’t decide that without knowing more about the problem. Tell us about drawing blood at night.
Dave: Well, there are two of us in the lab at night, myself and one tech. I draw all the bloods and help out with the testing when I can. The phones are mostly answered by the Tech. She takes the request for a blood test and records it on a log sheet, by the floor. If it’s a STAT request, I go right out.
Lotta: What about the Urgents?
Dave: Those get called in, too. But, I can’t go running for them all the time. When I go out for a STAT, I do any urgents in that unit as well. Then, near the end of my shift, I go around to all the floors and draw the rest of the urgents and the routines, too. Anyway, after I do the draws, I bring the specimens down to the lab and leave them with the techs. Have you talked with the night tech?
Tom: we can do that if we need to. But, let me make sure I understand what you’ve told us so far. You go right out when a STATs called in and while you’re in the unit you take care of any urgents that are there. When an urgent’s called in, you don’t go right out, but at the end of your shift, you make a sweep of the units and take care of both the urgents and routines. Do I have it right?
Dave: That’s it. We used to go out for the urgents just like the STATs before the last cuts. After that, with just me on nights, we couldn’t do that. I told my supervisor about that and he said it was OK, if that was the best we could do.
Lotta: Harry agreed with that? I wonder why I didn’t know.
Dave: No, not Harry – the guy before him. I think he left and went to Valley Hospital. Look, I’m serious. There are lots of things that are done a little differently on the night shift.
Tom: I’m sure you’re right! One more thing. What do you know that’s special about units 3B and4A?
Dave: Oh, those. That’s Diagnostic Med and Psych. They have very few requests at night, and just about zero STATs. I never make a special trip up there. I’m telling you, we just don’t have the time to run out for every test at night. Besides, if they really want the results in a hurry, they order them STAT. If that Quality Council wants special runs for everyone, they’ll just have to bite the bullet and hire more night staff.
Tom: Well, I think you’ve given us a pretty clear picture. We really appreciate your being so frank with us. I wonder if you’d be willing to join our project team. What do you think?
Dave: That would be great. Us night people don’t get a chance to be involved in lots of things that go on during the day.
Lotta: I realize that. We could move our meetings to the first thing in the morning. And, I’ll see to it that you’re paid for the time.
——-CURTAIN DOWN—————
Assignment 6-Part B:
Critique this interview. What was done well? What was not done so well?
Where is the team in the problem-solving process?
Submit your assignment as a Word document.

Week 3 Assignment – Healthcare Finance Research
Due: Mon Jul 22, 2024 9:00amDue: Mon Jul 22, 2024 9:00am
Ungraded, 130 Possible Points130 Points Possible
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Details
Overview
For the Week 2 activity, you selected a health services organization (HSO) and then developed five research questions to gain a better understanding of the financial condition of your chosen HSO; its budget preparation process; and fiscal planning strategies related to the financial management of the organization. For this assignment, you will provide thorough responses to each question and report your key findings.
Instructions
Using the HSO you identified in the Week 2 activity, use the Strayer Library and other reputable sources to locate publicly available financial information that will provide you with the answers to the five questions you developed in Week 2.
You will then write a three-page paper in which you include each of the following components:
Develop an introduction to your chosen healthcare organization.The name of the selected organization and background information, such as its location, size, focus, services provided, demographics of patients served, for-profit or nonprofit status, et cetera.
Indicate whether the organization has a separate finance or business department and, if so, who is responsible for the department.
Any other information that may help explain the chosen organization. For example, is it unique in how its finances are managed? If so, how?
Develop research-based answers to the five previously created questions.A response to each of the five questions you created in Week 2. This should include specific information pertaining to the chosen healthcare organization’s budget preparation process, fiscal planning strategies, and how the financial condition of the organization is routinely monitored and corrective actions are taken when necessary.
Assess any differences and similarities between what you have learned from the textbook, videos, and other readings with what you have learned in your research.This is the section of the paper where you assess any differences between what you have learned in this course and what is reflected in your research. This is also an opportunity to identify connections between cost and quality and explore the interplay of performance improvement, regulatory compliance, provider relationships, and payors. Keep in mind that the background and context of the organization play a role in how these pieces fit together.
This course requires the use of Strayer Writing Standards (SWS). The library is your home for SWS assistance, including citations and formatting. Please refer to the Library site for all support. Check with your professor for any additional instructions.
Resources
There are a few ways to access public information on health services organizations.
Google Operator Search: You can use symbols or specific words in your Google search to make results more precise. For healthcare organizations’ finances:If your chosen health services organization has a website of www.communityhospital.org, you would use the following search to look within their website for financials:site:communityhospital.org “financial statements”
To narrow your search even further, you could add filetype: to the end of your search to look for specific files. For example, filetype: pdf.
EMMA: EMMALinks to an external site. (Electronic Municipal Market Access) is a great resource for locating reports on large nonprofit hospitals. Simply use the “browse issuers” at the top, and then click on the state your hospital is located in. From there a populated list of bond issuers within the state appears. Many of them are just the city name, but it is easiest to put the word health in the “Search within this list:” box to narrow it down to bond issuers for hospitals. On the next page in the same search box, you can put the name of your hospital and you will select the most recent result. This will take you to a page with different tabs containing financial information.
EDGAR Report: All companies are required to fill out periodic EDGAR reports through the U.S. Securities and Exchange Commission. This applies to public, for-profit organizations. You can learn more about the reports, how to read them, and how to access them at the SEC’s Filings & FormsLinks to an external site..
GuideStar: GuideStarLinks to an external site. offers a way to look for finances from nonprofit healthcare organizations.
The specific learning outcome associated with this assignment is:
Assess the relationship among healthcare costs, quality, performance improvement, regulatory compliance, provider relationships, and payors.
View Rubric
Week 3 Assignment – Healthcare Finance Research
Week 3 Assignment – Healthcare Finance Research
CriteriaRatingsPts
Develop an introduction to your chosen healthcare organization.39 to >35.09 pts
Exemplary
Developed an introduction to the chosen healthcare organization including the name, background information such as its location, size, focus, services provided, demographics of patients served, for-profit or nonprofit status, et cetera. Also indicated whether the organization has a separate finance or business department and, if so, who is responsible for the department.35.09 to >31.19 pts
Competent
Developed an introduction to the chosen healthcare organization including the name, background information such as its location, size, focus, services provided, demographics of patients served, for-profit or nonprofit status, et cetera, but did not indicate whether the organization has a separate finance or business department.31.19 to >27.29 pts
Needs Improvement
Developed an introduction to the chosen healthcare organization including the name, and limited background information such as its location, size, and services, but did not include any additional information.27.29 to >0 pts
Unacceptable
Did not develop an introduction to the chosen healthcare organization./ 39 pts
Develop research-based answers to the five previously created questions.
39 to >35.09 pts
Exemplary
Developed research-based answers to the five previously created questions. Responses included specific information pertaining to the chosen healthcare organization’s budget preparation process, fiscal planning strategies, and how the financial condition of the organization is routinely monitored and corrective actions are taken when necessary.35.09 to >31.19 pts
Competent
Developed research-based answers to the five previously created questions. While all questions have a response, not all responses included specific information pertaining to the chosen healthcare organization’s budget preparation process, fiscal planning strategies, and how the financial condition of the organization is routinely monitored and corrective actions are taken when necessary.31.19 to >27.29 pts
Needs Improvement
Developed research-based answers to the five previously created questions. Responses may not be provided for all questions or did not include any specific information pertaining to the chosen healthcare organization’s budget preparation process, fiscal planning strategies, and how the financial condition of the organization is routinely monitored and corrective actions are taken when necessary.27.29 to >0 pts
Unacceptable
Did not provide answers to the five previously created questions./ 39 pts
Assess any differences and similarities between what you have learned from the textbook, videos, and other readings with what you have learned in your research.
39 to >35.09 pts
Exemplary
Assessed any differences and similarities between what you have learned from the textbook, videos, and other readings with what you have learned in your research. Specifically identified connections between cost and quality and explore the interplay of performance improvement, regulatory compliance, provider relationships and payors and how the background and context of the organization play a role in how these pieces fit together.35.09 to >31.19 pts
Competent
Assessed any differences and similarities between what you have learned from the textbook, videos, and other readings with what you have learned in your research. Specifically identified connections between cost and quality and explore the interplay of performance improvement, regulatory compliance, provider relationships and payors, but did not make a connection to the background and context of the organization.31.19 to >27.29 pts
Needs Improvement
Assessed any differences and similarities between what you have learned from the textbook, videos, and other readings with what you have learned in your research. However, it did not specifically identify connections between cost and quality and explore the interplay of performance improvement, regulatory compliance, provider relationships and payors.27.29 to >0 pts
Unacceptable
Did not provide any assessment of differences and similarities./ 39 pts
Clarity, writing mechanics, and SWS formatting requirements.
13 to >11.69 pts
Exemplary
Writing has very few spelling, punctuation, and grammatical errors; few fragments, comma splices, and run-ons. 0–2 errors present.11.69 to >10.39 pts
Competent
Writing has spelling, punctuation, and grammatical errors that are distracting in a few places; few fragments, comma splices, and run-ons. 3–4 errors present.10.39 to >9.09 pts
Needs Improvement
Writing has spelling, punctuation, and grammatical errors that are distracting in some places. 5–6 errors present.9.09 to >0 pts
Unacceptable
Writing has spelling, punctuation, and grammatical errors, fragments, comma splices, and run-ons that distract from the message. More than six errors present./ 13 pts
Total Points: 0
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please respond to the following discussion post as a peer. “A business plan must be detailed enough so the reader knows what the project will cost and how much the company needs to start it. The financial statements must be included in the business plan to show how the business will benefit from it and how it affects its future financials.
The three critical things to include in a business plan are profit and loss statement or the income statement, balance sheet, and a cash flow statement (Turner, 2022). The profit and loss statements will give the readers an insight into the company for a year (Turner, 2022). This will also look back into the statements to show what the company spent money on and what money they lost during the process (Turner, 2022). The balance sheet will show the money that comes in and that goes out over the year (Turner, 2022). The cash flow statement will show how much money was made and how much money was directly paid out (Turner, 2022). These three statements will give an insight on how the company is truly doing financially (Turner, 2022).
The presentation needs the right amount of information because if you overload the reader, they may not truly understand or be too confused and will not approve the plan by not truly understanding the financials (Turner, 2022). If you provide too little financial information, it may have the same effect and the reader may not agree because information is left out and they truly do not know if this is a vital business plan (Turner, 2022).
The reader needs just the right amount of information to understand that there are benefits to this decision for their company and it will bring revenue and not a loss to the company. If the business plan does not bring revenue, it will make sure it positively impacts the patient experience and keeps the patient in our clinic.
Andrea Mendoza
Turner, M. (2022, May 5). Business plan financials basics. First Horizon Bank – A Trusted Choice for Financial Services. https://www.firsthorizon.com/Corporate-Institution-Learning-Center/The-3-Financial-Statements-Your-Business-Plan-Must-Include

Notice how much detail can be included in various financial statements. What accounting data is required for you to write your CLC Business Plan? How can you present just enough information for your reader to get a clear understanding of the financial concerns of your proposal? What risks are posed with providing too much or too little financial information?
Managing Health Care Business Strategy
Required
Moseley, G. B. (2017). Managing health care business strategy (2nd ed.). Jones & Bartlett. ISBN-13: 9781284081107

I need help with my
homework. I need you to create a patient with ASTHMA Exacerbation with COVID. I
will send you an example of how it should be done. You need to provide the
information just like you see in the example. I want to see if you are capable
of doing it well. I will send more work once you finish this, and I will review
it to see if it is possible for you to do more. I hope you understand. The
information must be consistent with the diseases I chose. That is, all the data
must correspond to a patient with ASTHMA Exacerbation with COVID.

Please provide an answer that is 100% original and do not copy the answer to this question from any other website since I am already well aware of this. I will be sure to check this.
Please be sure that the answer comes up with way less than 18% on Studypool’s internal plagiarism checker since anything above this is not acceptable according to Studypool’s standards. I will not accept answers that are above this standard.
No AI or Chatbot! I will be sure to check this.
**Please be sure to view, use, and cite the sources provided**
Please upload the assignment from Miki given in the AMPS video:
AMPS Assignment
Pick 5 areas to assess ADL motor or process skills. List motor or process skill, rating,
and why you gave that rating.
Write one thing you learned about the AMPS through this lecture
Requirements: Answer Question Times New Roman Size 12 Font Double-Spaced APA Format Excluding the Title and Reference Pages | .doc file
Please provide an answer that is 100% original and do not copy the answer to this question from any other website since I am already well aware of this. I will be sure to check this.
Please be sure that the answer comes up with way less than 18% on Studypool’s internal plagiarism checker since anything above this is not acceptable according to Studypool’s standards. I will not accept answers that are above this standard.
No AI or Chatbot! I will be sure to check this.
Please be sure to carefully follow the instructions.
No plagiarism & No Course Hero & No Chegg. The assignment will be checked for originality via the Turnitin plagiarism tool.
Please be sure to include at least one in-text citation in each paragraph.

Please upload the assignment from Miki given in the AMPS video:
AMPS Assignment
Pick 5 areas to assess ADL motor or process skills. List motor or process skill, rating,
and why you gave that rating.
Write one thing you learned about the AMPS through this lecture

Find Interviews of a Person in Your Profession from Essay #1(rehabilitation nurse)
Topic: This assignment is for your to obtain insight from a person currently working in your preferred profession. No personal interviews will be accepted. Use an Internet search to find interview articles or videos interviews of a person that is already in your selected profession (Essay #1).
Online search: You are to locate an interview (e.g. video, article, etc.) of a person in your preferred profession. It might take a few tries to find good ones. A personal interview is not allowed. I need to verify the information with its URL.
Essay Format:
Paragraph 1 – Briefly discuss the profession you are pursuing and its importance to you.
Paragraph 2 – Identify the person and their title, length of career, and company. Discuss how and where you located the interview.
Paragraph 3 – What specific insight did the persons provide regarding necessary education, certifications, enjoyment, and other advice.
Paragraph 4 – Did the persons’ information make you more or less likely to pursue the profession? Why?
4.) Below the Essay – Include link (URL) to Internet article, video, etc. for your representative.
No essays will be accepted in the Discussion Board or through email. Test the document and make sure it opens before you submit!!
Additional Information:
Your reference list will not be included in your word count.
If you supply information (e.g. statistics, quotes, etc.) from other sources, it must be referenced.
Written material obtained from the textbook or other sources and not referenced could be cause for zero points on the assignment.
Reference is defined as a listing of the source of the material.
In the body of the essay, after the “quoted” material list (Author’s name, year of publication).
At the end of your essay, include a reference list: include the author’s name, date of publication, title, publisher, or website URL.
Requirements: 4 pages (1200 words)

Submit 1 Mini-SOAP note on a patient that you saw in clinic this week. Submit as a Word Document. See example template below for required format.
Review the rubric for more information on how your assignment will be graded.
Demographic Data
Age, and gender (must be HIPAA compliant)
Subjective
Chief Complaint (CC) unless an Annual Physical Exam (APE)
History of Present Illness (HPI) in paragraph form (remember OLDCART: Onset, Location, Duration, Characteristics, Aggravating/Alleviating Factors, Relieving Factors, Treatment)
Past Med. Hx (PMH): Medical or surgical problems, hospitalizations, medications, allergies, immunizations, and preventative health maintenance as applicable
Family Hx: As applicable
Social Hx: Including nutrition, exercise, substance use, sexual hx, occupation, school, etc.
Review of Systems (ROS) as appropriate: Include health maintenance (e.g., eye, dental, pap, vaccines, colonoscopy)
Objective
Vital signs
Physical findings listed by body systems, not paragraph form
Assessment (Diagnosis/ICD10 Code)
Include all diagnoses that apply for this visit
Plan
Dx Plan (lab, x-ray)
Tx Plan: (meds)
Pt. Education, including specific medication teaching points
Referral/Follow-up
Health maintenance (including when screenings, immunizations, etc., are next due):
*Based on population focus, some additional details may be required by faculty

This week, you are discussing pediatric conditions affecting cardiac, atopic, rheumatic, immunodeficiency, and respiratory system disorders. An important question for NPs is when should you refer? The answer is more about clinical judgment than what the practice guidelines say, although always follow practice guidelines on when to refer as with all else. Remember, even cardiologists have difficulty with things such as distinguishing certain murmurs. You need to be very careful about interpreting tests such as EKGs, echocardiograms, chest films, MRIs, CT scans, etc. Unless you have received formal education in these areas, it is best to refer. Always keep in mind “scope of practice.” Exceptions would be previously diagnosed conditions that are now stable with current treatment.
You are expected to present your initial topic, including, but not limited to, the following items:
Pathophysiology
Physical exam findings
Differential diagnoses and rationale
Management plan to focus on pharmacotherapy agents based upon evidence-based practice guidelines
Topics:
Murmurs (innocent and pathologic)
Asthma
Infective endocarditis, pericarditis
Myocarditis
Cardiomyopathy
Cardiac dysrhythmias
Upper respiratory disorders (common cold, rhinosinusitis)
Pharyngitis, tonsillitis
Diphtheria, pertussis
Croup, epiglottitis
Nonbacterial and bacterial pneumonia
Cystic fibrosis
Pectus deformity
Rashes
Rheumatic fever
Systemic erythematosus lupus (SLE)
Any thoughts? Should the NP order any tests or labs before or while waiting for the referral? If so, what are some of these?
Minimum 3 references , please follow all instructions.