...University Abstract This paper describes how to compile an operational budget from the article “Hospital Nursing Costs, Billing, and Reimbursement” including the relationship of the budget to the four major financial statements and GAAP principles. Compile an Operational Budget from the article “Hospital Nursing Costs, Billing, and Reimbursement” An operational budget for a hospital nursing department forecasts this unit’s contribution to the income statement (Gapenski, 2012, p. 234). The operational budget has volume assumptions, revenue assumptions, cost assumptions, and a pro forma profit and loss statement. For nursing departments, volume assumptions drive variable cost assumptions such as labor. The revenue assumptions and the pro forma profit and loss statement typically are not applied as nurses are billed as a fixed cost as part of the hospital’s room rate. Typically, the volume assumptions are based on patient location and tied to the Diagnosis Related Group (DRG) weighting, which distributes nursing care expenses across three categories of care such as routine, intermediate, or intensive (Welton, Fischer, DeGrace, Zone-Smith, 2006). The study documented in “Hospital Nursing Costs, Billing, And Reimbursement” found patient location a less accurate indicator of nursing costs when compared to nursing intensity, indicating the patient location methodology does not link nursing care costs with hospital revenue as accurately as the nursing intensity methodology would...
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...Syllabus-MBA (Hospital Administration) PAPER – I: BASIC CONCEPT OF HEALTH -Code MHA 101 Concept of Health and Disease • Concept of health & disease and well being. • Natural history of disease and role of hospitals to offer various levels of care • Prevention aspect of diseases • Dynamics of disease transmission • Changing pattern of diseases • Concept of health indicators Preliminary Human anatomy and Physiology • Basic concepts of human anatomy • Basic concepts of human physiology Suggested Reading: Human Anatomy- Prof. Samar Mitra Human Anatomy- Prof. A. K. Dutta Text Book of Human Physiology- Dr. C. C. Chatterjee Common Pathological Conditions • Basic concepts of pathogenesis of common diseases • Basic concepts of interpretation of investigations reports Suggested Reading: Robbin’s Textbook of Pathology – Robbin, Cotran, Kumar Textbook of Microbiology – Ananantanarayan & Paniker Basic concepts of Pharmacology: Commonly used Medicine in a hospital, Narcotic drugs, use and abuse of drugs. Dispensing of medicine, Drugs store, drug stock / purchase of medicine, oxygen, I/V Fluid, Chemicals etc. Suggested Reading: Textbook of Pharmacology: Dr. K. D. Tripathi PAPER – 2: Hospital Based Healthcare & Its changing scenario-Code MHA 102 Overview of Hospital • Concept of Modern Hospital & Privatization in Health Sector • Public Sector Hospitals and Level of care / offered facilities ...
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...Nursing Shortage Janice Boserman HCS/552 April 7, 2014 Nursing Shortage Shortages of registered nurses have taken place repeatedly in the past. Agencies have examined the reasons for the decline in the supply of nurses. There seems to be a cycle of nursing shortages in the United States. “Economist argue that the shortages are related to the lack of increase wages, an imperfectly competitive market, geographic distribution problems, or the delay between salary increases and the ability to afford the education needed to enter the job market,”(ACHE, 2013). Other resources site the nursing shortage on the aging nurse population or the “baby boomers” leaving the workforce. The decrease individuals attending the nursing programs due to not enough professors to teach are causing a reduction in the number of graduate nurses. This paper will discuss two economist tools used to understand the nursing shortage. The two tools are supply and demand and marginal analysis. How the nursing shortage can affect the economy will also be discussed. Supply and Demand Nursing shortages are a predictable occurrence in healthcare. In the United States alone, five significant shortages have happened in the last 50 years (Censullo, 2008).The lack of nurses lasts 1 to 2 years. It is predicted the by the year 2016 nearly 587,000new jobs will be on available for new nurses (Aiken, Cheung, & Olds, 2009); the United States Bureau of Labor and Statistics have determined there will be a shortage...
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...Comparison Paper Latarshaw Wright NUR/443 July 15, 2013 Instructor: Linda Hansen-Kyle Abstract Research studies are a key element to the implementation of evidence-based practice in nursing, but one must first have a thorough understanding of the study process in order to benefit properly from the findings. The most important concept is to understand if the study is Quantitative or Qualitative in design. The purpose of this paper is to compare and contrast the differences in these two designs by using examples of each to describe. By evaluating each paper and including topics such as the strength of the research question, the strength of the methodology, correct or incorrect sample type and size, appropriate data analysis, complete discussion of findings, and implication for nursing practice and practability of implementation a pattern will appear revealing the likes and differences of the two types of studies. The findings indicate both quantitative and qualitative studies are crucial in the development of scientific research. By incorporating these in the scientific field of research, nursing will continue to grow and evolve. . Comparison Paper The advancement of nursing research has led to evidence-based practice in nursing which in turn leads to positive patient care outcome. Nursing research plays an integral role in nursing education. The 21st century has revolutionized nursing in theoretical and practical aspects of nursing. New innovative ideas...
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... write a paper which explains what health sociology can contribute to an understanding of your selected issue. The paper must use the following headings: Issue Description Provide a minimum 200-word detailed description of the health issue you have chosen. Theoretical Perspective Provide a minimum 500-word sociological analysis of the issue you have chosen. Use your textbook as well as other sociological sources (e.g., textbooks, journal articles) in this section. You will need to select one sociological theory which is relevant to your chosen issue, state the main ideas of this theory, and explain how effective the theory is in helping to understand the chosen issue. Conclusion Provide a minimum 200-word summary which explains how health sociology theory provides a different way of making sense of the organisation of health care. ISSUE DESCRIPTION The rise of nurse practitioners concerns the extension of some aspects of nursing practise to incorporate tasks once only performed by doctors. The issue here is whether the rise of the nurse practitioner role improves the agency and professional status of nursing, and the extent to which it is resisted by doctors as a challenge to their clinical autonomy. Nurse practitioners fall under the category of advanced practise nurses. The Australian nursing and midwifery council (ANMC) has proposed the following broad definition of advanced practice nursing: “Advanced practice nursing defines a level of nursing practice...
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...Educational assessment and analysis Introduction There is a wide range of problems that nurses are experiencing from their places of work. There are also challenges that they face in regarding their professional development because they do not have the prerequisite skills that are necessary for the provision of care of the highest standards to their patients. Because of the majority of workers who are aging at an increasing rate, it is likely that hospitals will experience a shortage in nursing. It is necessary to have ongoing education for nurses so that to make sure the currency of knowledge so that to enable evidence-based customer care. The education cost is high to both the individual and the organization; therefore, it should be cost effective, appropriate, and relevant (Jacob, & Cherry, 2005). Research indicates that education for nurses is not always planned and developed systematically, and it relies on the interest and assessment area of the nurse educators. According to this paper, it will aim at identifying, analyzing, and assessing the educational needs at LewisGale (LG), which is a long term care facility. This paper will help determine the educational needs that should be addressed and challenges that long term facilities are currently facing. Residential Care Residential care provides care in facilities also known as nursing homes. This is a place where people requiring continual nursing care with significant deficiencies with daily living activities...
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...h Nursing Leadership Theoretical Perspectives of Change The question of leadership in nursing education is one that has been examined extensively in the past literatures. In this paper, various dimensions and aspects related to change in nursing leadership will be discussed in the following assignment. After the discussion of principles related to change, it will be then followed with an analysis of actions and strategies used in a capacity building project aimed at developing novice nurse academics' research skills. Theories of transformational leadership, and contingency theory of leadership, highlighted, in relation to the processes used, thus illustrating the application of theory to the practice of nursing leadership in the academy. Kurt Lewin was one of the first social psychologists who developed a way to observe the change that has proven skilled for managers and action-oriented employees. His approach was called Force Field Analysis, and, said that any situation can be considered in a state of equilibrium resulting from the balance of force that pushes each other constantly. To initiate change someone has to act to change the existing balance of forces which are: 1. To increase the force for change 2. By reducing the intensity of the forces that resists and total removal of them becomes necessary. 3. With the change in the direction of a force that transforms a resistance to pressure for change (Courtney, 2004). Strategies used...
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...Care, A Moral Duty This 11 page research paper offers a current overview of the issues associated with the topic of universal healthcare provision and the Affordable Care Act (ACA). Universal health care as a moral and ethical duty is stressed. Bibliography lists 11 sources. Minimum Wage, Healthcare Reform A 3 page research paper that covers two topics. The first half of the paper presents the history of the federally mandated minimum wage, and the second half discusses the Supreme Court's announcement that it will rule on the constitutionality of the Affordable Care Act's required mandate for all Americans to purchase health insurance. Bibliography lists 2 sources. ESRD in NC, Access to Care for Underprivileged A 4 page research paper that examines the Patient Protection and Affordable Care Act (ACA) and how it impacts care for underprivileged patients with end stage renal disease (ESRD). Bibliography lists 2 sources. Health Care Changes Resulting from the PPACA In a paper of ten pages, the author writes about the Patient Protection and Affordable Care Act. The author of this paper considers four changes within health care as a result of the act including changes of private insurance, changes for the state regulations, the individual mandate provision, also age related coverage and preexisting conditions. There are three sources cited in this paper. Healthcare Reform Policy Position Paper A 4 page research paper that discusses the benefits that can be derived...
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...Evidence Based Practice Nursing Implications Evidence Based Practice Nursing Implications Evidence based practice has been changing the direction of care and clinical research with regards safety, patient centered, and cost efficient care delivered to patients. The purpose of this paper will show the importance of Evidence Based Research by defining this form of research and the importance of using the research to improve on nursing practice. It will also show research examples of qualitative and quantitative studies and how it would improve patient outcomes and nursing practice within the Neonatal Intensive Care Unit. Barriers will be discussed that prevent nursing from using and embracing the current research. Finally, the conclusions will summarize the main points of this paper. Importance of Evidence Based Research The importance of evidence based research is, and should, be the driving force on nursing practice to patients. It should go hand in hand with the critical thinking skills that nurses already have and use with regards to care. Evidence Based Research is important because it is an accumulation of information that forms clinical practice. Evidence based research incorporates the patient/family, cost, and safety of care to be delivered. It changes the care from; the way it was always done to the way research proves it should be done, which may still be the way it was always done. The difference is that the now the processes are backed by highly reviewed...
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...|[pic] |Syllabus | | |College of Nursing | | |NUR/598 Version 4 | | |Research Utilization Project | Copyright © 2011, 2009, 2005, 2004, 2001, 2000, 1999 by University of Phoenix. All rights reserved. Course Description This is a graduate research course that focuses on the use of a body of nursing knowledge and scientific knowledge in the nursing practice setting. Students develop a proposal to address a problem or concern in the nursing practice, propose an evidence-based solution, develop an implementation and evaluation plan, and describe implementation strategies for the proposed solution. Policies Faculty and students/learners will be held responsible for understanding and adhering to all policies contained within the following two documents: • University policies: You must be logged into the student website to view this document. • Instructor policies: This document is posted in the Course Materials forum. University policies are subject to change. Be...
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...Modeling the Cost Implications of Using Carboxymethylcellulose Dressing Compared with Gauze Danielle Oliver Breckinridge Nursing School In partial Fulfillment of the requirements of TB133 Strategies for the Technical Professional David Balin September 25, 2013 Introduction This papers’ objective is to estimate the costs of using carboxymethylcellulose dressing (CMCD or Hydrofiber) compared to gauze in managing surgical wounds healing by secondary intention in the U.S. and the U.K. Most sutured wounds will heal within the time they’re supposed to and without ever having a problem. However, for a wound to heal properly depends on internal and external factors that can result in complications. For example, a wound will heal much slower if there is sign of an infection, or wound dehiscence (the bursting open of a surgically closed wound) or the presence of foreign material. If this happens, the wounds become hollow and would need to heal by secondary intention (wound left open to heal from the inside out). Other surgical wounds that are not as serious and don’t need stitches such as abscesses, are left to heal by secondary intention. And wounds healing by secondary intention need to be “filled with new tissue via granulation, epithelialization (consisting of cells joined by small amounts of cementing substances), and maturation” (to produce or discharge pus, as a wound). (Guest & Ruiz, 2005) Wounds healing by secondary intention are thought...
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...Analyzing Buyer Behavior Instructions: In this scenario-based activity, you will need to review the scenario presented to you, your role in the process, and then read the viewpoints of the key employees that have been assigned to help you with this activity. Be sure to view the grading rubric at the bottom prior to proceeding to the activity. Your completed paper will be submitted to the Drop Box. Scenario Scenario Summary You are the new Vice President of Marketing for Graves Enterprises, makers of consumer and commercial grade floor care products. You have two marketing directors that report to you, each of who is in charge of either the consumer market or the commercial market. Graves Floor Care Products are currently priced comparable to their direct competitors in both markets. They are also distributed through the same distribution channels, although there is no real incentive for the distributors or retailers to carry Graves Floor Care's products over those offered by the competition. The sizes and packaging of Graves products and those of the competition are similar, yet there are distinct competitive differences that are not effectively promoted. Some differences include a unique, proprietary chemical cleaner that cleans "dry" (and does not clean "wet"), which helps to reduce mold. In addition, the Graves products reduce mold. Graves products utilize environmentally friendly chemistry, contain “Scotchgard” for continued stain protection. In addition...
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...Strategic Planning and the Nursing Process Paper Strategic Planning and the Nursing Process Paper HCS/482 Health Care Informatics November 25, 2014 Strategic Planning and the Nursing Process Healthcare informatics is an idiom that refers to the use of information technology in the healthcare field. Several software applications are used in healthcare informatics mostly used are computers. The wide-ranging uses of healthcare informatics include but are not limited to electronic record keeping, information distribution, data observation, data investigation, and record keeping. Medical records are more readily accessible due to healthcare informatics. In the past health care medical records were written on paper and sometimes carbon copied paper. When patients went to the doctor their medical records were ordered and sent via courier to various departments. Healthcare informatics has improved patient care by providing clear legible computerized charting verses the illegible poorly written, unorganized charting health care providers were use to. The Nursing Process According to Definition: Nursing Process (2004), The Nursing process is defined as “a five-part systematic decision-making method focusing on identifying and treating responses of individuals or groups to actual or potential alterations in health”. The Nursing process includes assessment, nursing diagnosis, planning, implementation, and evaluation”. The nursing process is an organized...
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...Strategic Planning and the Nursing Process Paper HCS/482 Diane Delucia Strategic Planning and the Nursing Process Paper Strategic Planning and the Nursing Process Healthcare informatics refers to the use of information technology in the healthcare field. Several software applications are used in healthcare informatics. There is a variety of healthcare informatics uses including, but not limited to, electronic record keeping, information distribution, data observation, data investigation, and record keeping. Medical records are now more readily accessible due to healthcare informatics. In the past health care medical records were written and or typed on paper. When patients saw a physician their medical records were ordered, obtained, and sent via courier or interoffice mail to various departments. Healthcare informatics has greatly improved patient care by providing clear legible computerized charting verses the illegible poorly written, unorganized charting health care providers previously used. The Nursing Process According to Definition: Nursing Process (2004), The Nursing process is defined as “a five-part systematic decision-making method focusing on identifying and treating responses of individuals or groups to actual or potential alterations in health”. The Nursing process includes assessment, nursing diagnosis, planning, implementation, and evaluation”. The nursing process is an organized, strong, method of providing nursing care so that the needs of...
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...A Nursing Professional Organization The National Association of Hispanic Nursing Name College Abstract This research paper is on The Nurse Association of Hispanic Nurses (NAHN). I will explain the primary mission of this organization and it’s contributing factor and benefits to nursing. The impact of the organization on the community, the political stand point and supportive issues it has on nursing, the resources it provides on the web and to health professionals and the public, the choices for scholarship and continuing education, if any local chapters are located in the community and participation is allowed, my consideration of joining this organization, and advantages and disadvantages of participating in this nursing organization. A Nursing Professional Organization The Nursing Association of Hispanic Nurses (NAHN) is a non-profit nursing organization that was founded in 1975 to address the needs of the Hispanic nurses. Its mission is “committed to advancing the health in Hispanic communities and to lead, promote and advocate the educational, professional, and leadership opportunities for Hispanic nurses”. (National Association of Hispanic Nursing, 2013) The NAHN focus is on improving the health and quality nursing services of the Hispanic community. This organization contributes to the practice of nursing and the community by providing an opportunity to the nurses to incorporate in the analysis and evaluation of the community needs. They design and promote...
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