...Practice Standards Pathway Practice Standards are based upon expert nurse input, nursing literature and research that supports the qualities of a positive practice environment. All 12 standards apply to health care organizations and long term care institutions. Additional standards apply to the long term care environment. 1. Nurses Control the Practice of Nursing A shared governance model centers a healthy work environment for nurses. RNs directly involved in decisions that affect nursing practice with demonstrated autonomy and responsibility experience higher job satisfaction and contribute to improved quality of care and safety for patients. 3, 10, 11, 15 2. The Work Environment is Safe and Healthy An environment where safety is paramount for both nurses and patients is essential to the delivery of quality nursing practice. Studies indicate that work environments with a culture of safety demonstrate a reduction in work-related injuries. 16, 25 A supportive work environment that encourages the health and well-being of staff is also essential. 3. Systems Are in Place to Address Patient Care & Practice Concerns Pathway-designated organizations provide dispute mechanisms to address patient care and practice concerns without retribution. Silence and poor communication lead to patient safety issues and reduced job satisfaction. 2, 20 In 2009, the Joint Commission recognized implemented a standard to address conflict-and-dispute resolution in health care.17...
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...the state we are working in has established as a scope of practice of a register nurse. We are advocates of the patient and his family, and we are to promote patient safety by practicing within the national practice act and the board of nursing rules and regulations. The scope of practice for the register nurse utilizes the nursing process to establish the plan of care for the patient. The nursing process includes assessment, planning, implementation, evaluation and reassessment, communication, clinical reasoning, and employment setting. In practice we need to remember that we only practice what we are trained and educated to do. You cannot expect a floor nurse to function in an ICU or an Emergency room nurse to work on a medical floor and be able to function fully in the scope of practice for that unit. We need to know our level of competency and practice within that scope of practice that is set up by the unit and the hospital based on the state board of nursing scope of practice and the national practice act. If you are hired as a register nurse then you must practice as a register nurse even if you or an EMT, or a nurse practitioner. If you are on the floor and you are an ICU trained nurse your scope of practice has changed because of unit policies, what you can do in the ICU may not be acceptable on the floor and vice versa. No matter where we practice we need to know the scope of practice for each area we work in so that we can ensure safe, competent...
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...that might be involved in developing a standard of practice. Outline the Process for Developing Nursing Standards of Practice and Identify the Different Entities That Might Be Involved in Developing a Standard of Practice. When outlining the process for developing standards of practice the American Nurses Association relies on members as the first link in developing an official resource. Members are nominated to a working group that researches the issue at hand and writes a statement before going to the ANA for final approval. This bottom-up approach ensures the standards are current and accurately represent nurses across the nation (ANA 2014). The Department of Health Scope of Practice Tree asks us, Is the act permitted or prohibited by the nurse practice act, Is it consistent with standards? Do you have current clinical skills to perform the act safely? Is the act with in in standard of care? Are you prepared to accept the consequences of your action? The six main categories of practice are assessment, Analysis, Outcome Identification, Planning, Implementation, and Evaluation. By implementing standards of care we are able to provide excellent care to out patients. Different entities that might be involved in developing a standard of practice are The American nurses Association and the Joint Commission on Accreditation of Healthcare Organization (JACHO) have established and recognized standards of care. Standards of care are found at the national and...
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...Outline the process for developing nursing standards of practice and identify the different entities that might be involved in developing a standard of practice. Nursing standards of practice are vital to ensure patients received quality care and encompass the caring and professional aspects of nursing. These guidelines clearly designate what nurses should or should not do and are also a template for excellent, competent care. In order to develop nursing standards of practice one must be mindful of these requirements. The standards of practice shall: 1. Be considered as the baseline for quality nursing care 2. Be developed in relation to the law governing nursing practice 3. Apply to the registered nurse practicing in any setting 4. Govern the practice of the licensee at all levels of practice Nurses should evaluate what area the nursing standard of practice that they are developing fits into. There are six main categories of practice to choose from: Assessment, Analysis, Outcome Identification, Planning, Implementation or Evaluation. The new standard that is being developed needs to clearly outline what the profession expects of its members, how it will promote, guide or direct the nursing practice and how it will assist in improved understanding and response in the nursing role. There are several different entities that might be involved with the development of a new standard of practice. “Federal and state laws, rules and regulation and other professional agencies/organizations...
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...ADN to BSN – What a Difference When considering our nursing profession, we must look at the differences that a Baccalaureate Degree program offers compared to an Associate Degree program. Both nurses are caregivers, patient advocates and have an interest to promote health. The Associate Degree nurse holds the minimum entry level of education required for a Registered Nurse license. Associate Degree programs focus on applied sciences and clinical experiences. A Baccalaureate Degree program focuses on a broader range of theory, community and leadership. Advanced knowledge allows the nurse to better assess, utilize critical thinking skills and provide a more holistic care which leads to improved patient outcomes. Nursing has evolved greatly over time and to fully appreciate the differences of the degrees, we must look at the history of nursing and what brought about the different education levels. It all began with Florence Nightingale, the founder of the profession of nursing. Florence Nightingale recognized the need for an organized and formal education in nursing. She developed the nurse apprenticeship and the basis of what we learn today. She made nursing a respectable profession. In the early 1900’s most nurses received training in hospital based programs. After WWII, many women left the workforce to marry and start families. This left the country with a critical shortage of nurses. Congress enacted the Hill-Burton Act (Coleman, 2005) which funded construction...
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...Reporting Practices and Ethics Paper Financial reporting and the ethical standards that coincide are important aspects of any health care organization. Health care facilities must report financial statements accurately and fairly. Reported financial data has a huge impact on stakeholders such as investors, patients, vendors, and employees. Health care finance managers should be well versed in the four elements of financial management, generally accepted accounting principles (GAAP), and ethical financial standards to ensure acceptable financial practices as well as the sustainability of the organization. Four Elements of Financial Management During the planning process, a financial manager uses the organization’s objectives to develop a systematic process by which the objectives will be met. In order for health care facilities to be successful, there is a large amount of planning involved. Of particular concern is healthcare reform. A health care facility has to plan for compliance issues that will directly affect their bottom line. This includes risk management, new information systems, or the purchase of new equipment. Controlling ensures each department within the health care facility is following prudent financial decisions that have already been set and planned. One example of controlling expenses is to approve or deny capital expenditures. Capital expenditures more often than not increase the organization’s assets. Capital expenditures are also usually included...
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...Instructional practices for standards-based curriculum is more than knowing and understanding state and district standards; posting objectives, standards, or learning goals in the classroom; referencing standards in lesson plans; covering concepts or following a teacher’s manual claimed to follow state standards. Instead, it is about consistently and effectively developing lessons with activities designed to meet the needs of all students. Standards Based Curriculum The foundational reason supporting national and state standards efforts is the quality of students that schools are producing as graduates. This could potentially be an effect of content and expectancies for students in identical classes and grade levels differ immensely within and across schools, districts, and states. A standards based curriculum is curriculum that is developed using district, state, and/or national standards; pinpointing the skills, knowledge, and understandings that students show exhibit to meet these standards and identifying activities that will enable students to reach standard mastery. Curriculum design starts with the standards and once they are unpacked, the activities to meet them are developed. With the standards-based curriculum movement, curriculum is now much simpler and condensed in which the content is significantly effected by high-stakes tests (GCU, 2010). Instructional Practices Teachers are mandated to teach standards and to make connections between standards-based curriculum...
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...It is of no surprise that the healthcare environment is rapidly evolving throughout the United States. This includes rising healthcare cost, provider shortages and ongoing changes within the Affordable Care Act. In addition, the American Associate of Nurse Practitioners (AANP) (2013), developed standard of practice guidelines that must be adhered by all nurse practitioners. Acknowledging the standards of practice is key as well as taking initiative in making sure they are being implemented in practice. Quality Assurance and Continued Competence is a standard of care that ensures the nurse practitioner remains compliant in continuing education. AANP (2013) identifies this can be achieved by attending continuing education programs, remaining...
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...Financial Management Financial Management of Health Care Organizations Michele R. Belton HCS/405 1/16/2012 Joseph M. Shin Financial management requires four elements in financial accounting reporting. These elements are thought of as a set. These elements include a balance sheet, a statement of revenue and expense sheet, a statement of fund balance or net worth and the statement of cash flows. A balance sheet keeps record of what a company owns, what the company owes and what the company is worth. The balance sheet keeps balances of the company assets, its liabilities and its net worth. (para.1) A statement of revenue and expenses covers a period of time not a single point in time. If there is revenue or inflow, less expenses, or outflow the result is in an excess of revenue over expenses if the year has been profitable. If the year has been bad which is a excess of expenses over revenue the result is a loss in profits. A statement of fund balances or net worth occurs once the excess of revenue over expenses flows back into equity or balance. (para. 2) This creates the statement of fund balance/net worth. All of these concepts go together when working with a balance sheet. The statement of cash flow works by using accrual basis accounting. In accrual accounting, revenue is recorded when it is earned not when the payment is made and any expenses are recorded when the transaction is made not when they are paid. (Baker & Baker,2011,p.107-111)...
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...Classification and Privacy: A foundation for compliance Brian Markham, CISA University of Maryland at College Park Office of Information Technology Goals for today: Give you a solid understanding of both Data Classification and Data Privacy with respect to compliance; Link data classification and privacy to ongoing compliance issues; Discuss various best practices, methodologies, and approaches that you can take with you; Do my best to answer any questions you may have on audit related issues regarding these topics. So...who am I? IT Compliance Specialist @ the Office of Information Technology at UMCP Responsible for audit and compliance initiatives within OIT Formerly employed by KPMG LLP and Grant Thornton LLP as an IS Auditor Have worked with many federal, state, and local governments as well as public companies, hospitals, and not-for-profits. Why do we want to be in compliance? No one likes audit findings; Reduces organizational risk; Processes based on best practice and widely adopted standards are more effective than ad-hoc processes; Systems and data are more secure as a result of good internal control practices. What is Data Privacy? Data Privacy - the relationship between technology and the legal right to, or public expectation of privacy in the collection and sharing of data. The U.S. has trailed the E.U. and other countries in data privacy regulations and legislation; Passed Legislation: HIPAA, Gramm-Leach-Bliley, COPPA; Proposed Legislation: Data Accountability...
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...data and intellectual property. Thus various mechanisms for protecting the data have been suggested lik ITIL, Best management practices A.. Recommended changes for protecting Fin man’s data and Intellectual property. According to Finman more demands and opportunities of the information technology customers can not avail because of the some old tradition of SLA in the modern age. So the entire organization can compete the highly competitive industry by using the more sophisticated unified IT management techniques when it offers to its potential customer the best protecting techniques. Minertek made the latest software and named it as Datanal which was based on data-mining that has assembled the various desperate operations and various other programs and procedures which were located on the separate location which help the customer to eliminate the duplication a d also to help them to achieve the better economies of scales and open the new businesses the various location. For consolidation of Datanal software, the organization will need them to establish the Access control list and crate the new user policies which will be providing the authorization to authenticate the network process and resources to use. Because of the third party verification, user will be getting the data more confidential and integrative along with the current industry standards, so the software Datanal will ensure the information security with the certain improvement by the compliance of International...
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...IT AUDIT - INFORMATION SYSTEM AUDIT - INFORMATION SECURITY ASSESSMENT IT AUDIT is an independent and systematic exercise of assurance (according to standards or as per the company's defined policy) of the IT environment under study or the business application, in order to give reasonable assurance that controls over IT processes have been implemented in such a way the company can achieve its objectives effectively (using available resources optimally) and efficiently (in terms of performance), controls of which should prevent, detect or correct any undesirable event that can negatively impact the company. The measure of conformity (or not) of existing controls should be supported by the evidence that the auditor should collect and assess for reasonability, completeness and reliability. For items requiring improvements, he/she should suggest recommendations for improvement. IT AUDIT can be done at the level of an IT system or at the level for example of the responsibilities assignment procedure for the execution of a given IT process. IT Risk Assessment on the other hand seeks to identify and evaluate (quantitatively or qualitatively) the risks and vulnerabilities in the audited element and recommend measures according to best practices in order to eliminate or reducing the risk at an acceptable level. In any audit exercise, a preliminary thorough risk assessment (that culminates into drafting the audit plan) precedes the actual audit tasks. More so when the IT...
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...The biggest threats, according to the Information Security Forum report for 2016 are concerns with big data, the Internet of Things, cybercrime, and the decreasing number of skilled IT security operators. Another issue that is becoming more prevalent is State Intervention. The threats that we need to prepare for at Aim High College are the protection against cyber threats from hackers, need for stronger protection from inside the organization through a top-notch IT department, and the dangers that come from data sharing. These threats are more common because opening our networks to the vast information on the web, we are opening our networks to numerous threats. Incoming and outgoing data can make our system available for hacking and cyber theft. Without complete transperancy, there isn’t a way to ensure that the data being shared is safe. Without having an IT Department that is on top of the latest threats, there is no way to protect the network from the threats. They need to be aware of all the possibilities of outside threats that can come from under protected or faulty applications. And of course there is the ever increasing number of cyber criminals looking to exploit companies and individuals for monetary gain. Whether they are using viruses and hacking. Or spam and scams, cybercrime is still on the rise. Only by having up to date security and educated employees can you protect the network. Many of these threats will remain constant as the world continues to...
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...Define the following terms as they relate to XBRL. 1. Extensible: The XBRL language is able to be extended. Users can add new ideas and phrases to the basic XBRL without changing its fundamental purpose, structures, or existing terminology. This idea is critically important in any discussion of XBRL. The original creators of the language could not possibly have anticipated every term needed by every organization over the course of even a few years-let alone a longer time period. 2. Specification: XBRL is a part of a larger group of languages referred to as XML. One common feature of all XML specifications is their extensible nature; another is their use as markup languages. So, XML consists of a series of descriptors added to various kinds of information that help users make sense of the information. As a specification of XML, XBRL is focused on descriptors of business reporting information-most often, accounting information. 3. Taxonomy: XBL is made up of several taxonomies, which, for the most part, are focused on specific industry groups. For example, the terminology that describes financial information in a manufacturing firm has some significant differences from financial terminology in a government entity. 4. Namespace: A namespace is like an XBRL dictionary. Remember what the X stands for: extensible. So if someone invents a new XBRL term, he or she has to let others know what it means. The meaning of the new term would reside in a namespace. Namespaces...
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...Running head: Life Cycles, Standards and Best Practices 2 Abstract This paper will outline the systems development life cycle as it pertains to both the development of a custom application and the selection of proprietary systems. The major types and classifications of health care information standards and specific organizations that develop and regulate standards will be explained. The need for security information systems will be revealed and the methods to accomplish security of these systems will be addressed. Three best practices for effective IT alignment and strategic planning will be outlined. Running head: Life Cycles, Standards and Best Practices 3 Description of Systems Development life Cycle as it Pertains to Both the Development of a Custom Application and the Selection of Proprietary Systems The Systems Development Life Cycle (SDLC), is a six step project development process that was designed to help the development team develop the end product. The players involved are the users, systems analysts, programmers and technical specialists (Systems Development Life Cycle (SDLC), 2006-2013). In the first step of the Systems Development Life Cycle (SDLC), an examination of the economic, technical, behavioral or organizational aspect of the business is reviewed. A determination will be made as to what needs...
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