...Developing a Spiritual Assessment Toolbox A. Wilmer Developing a Spiritual Assessment Toolbox Summary When a client’s spirituality is an active component of his belief system and culture, assessing his quality of life from a mental health perspective would not be complete without an accurate assessment of his spiritual needs (Hodge, 2005). Experts are stating that a holistic approach to counseling incorporates both psychological and spiritual assessments (Hodge, 2005). The accrediting body of hospitals, Joint Commission on Accreditation of Healthcare Organizations (JCAHO), recognizes the importance of spiritual assessments and recommends that health care providers conduct these assessments to understand their clients’ religious beliefs and spiritual habits (Hodge, 2005). David Hodge (2005) presents a review of five qualitative assessment tools for effective analysis of a client’s spiritual and cultural wherewithal. The design of these assessment tools gives a more definitive construction of a client’s worldview for the purposes of integrating spiritual beliefs and attitudes in the therapeutic process and discharge planning (Hodge, 2005). Hodge asserts that this form of assessment allows the healthcare professional to explore a client’s “spiritual strengths that might be used to ameliorate problems or cope with difficulties” (Hodge, 2005, para. 1). The five qualitative assessment tools offered by Hodge (2005) provide a detailed description and comparison of each tool...
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...Saturday, August 29, 2015 Prepared for Dr. Onu Prepared by: Jim Valdivia Purpose: Customized Project Management Toolbox for case study: EMC with PMI; Excellence on a Global Scale. A PM’s ‘toolbox’ includes numerous tools and techniques. In order to produce a successful project, a PM must integrate the shareholder’s needs and expectations with the knowledge areas (Carstens, D., Richardson, G., Smith, R., 2013) as illustrated below. Stakeholders’needs and Expectations | 9 Knowledge Areas | | ProjectSuccess | | Core Functions | | | | Scope Mgt. | Time Mgt. | Cost Mgt. | Quality Mgt. | | | | | | | | | | | PROJECT INTEGRATION MANAGEMENT | | | | | | | | | | | HR Mgt. | Communication Mgt. | Risk Mgt. | Procure Mgt. | | | | Facilitating Functions | | | 1. Stakeholders. I would begin the customization of my management toolbox by taking the time necessary to identify the unique groups and individuals for the project. With limited resources in a highly competitive market, I would want to do everything possible to ensure that relationships that matter the most for the benefit of the project were the focus. I would want to cluster the candidates according to common needs and expectations. I would start by asking key questions. Does the candidate have a fundamental impact on the success of the project? Can the PM clearly identify what is desired from this candidate? Does the PM want to foster growth in this relationship? Can...
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...services for this vulnerable group, the managers at County Clinic will need to evaluate how to best address the needs of the community by eliminating or introducing services that will best address the significant health care needs required by this population. Making a decision regarding a health policy initiative in the face of budget constraints requires that management takes a reasoned approach to decision making. In order to make these decisions, managers need to find the best evidence available, assess the available evidence, and determine which evidence is relevant to the decision making process. Thomas Rundall, Ph. D at the University of California at Berkeley developed a toolbox to aid decision makers in this area. His document is called the Informed Decisions Toolbox. This toolbox contains six steps that will be addressed by County Clinic in developing an action plan for the budget constraints of the department. These six steps include: 1) framing the management question, 2) finding sources of information, 3) assessing the accuracy of the information, 4) assessing the applicability of the information, 5) assessing the actionability of the information, and 6) determining if the information is adequate (Rundall, 2007). This paper will outline how County Clinic will use the Informed...
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... Working within the medical field requires many changes. In order to be compliant The information has to be up to date with rules, regulations and laws. Many health care field workers believe that this field is and can be very stressful. In the health care field the information that is obtained must be correct and can be looked up and verified. Coping and printing of information that is needed is an asset. When a health care board of directors makes a decision having proper reports and paper work available helps make the decision smoother. In this case study we will look at the toolbox affects that go with accountability. We will be able to see knowledge transfer, and how it goes along with questioning decisions for the organization. How will this improve revenue, patients and the productivity of the organization? The Informed Decision Toolbox In reading the informed decision toolbox in Rundall, (2007) it talked about a number of steps six to be exact. These steps are suppose to help when making hard decisions or difficult ones for the continued growth of the company. This will help make decisions along with evidence-based information. Analyzing the statics of how many patients area being seen. What portion of the patients is Medicaid? The first step: framing the management question In this step you have to look at the information given as to what services will be cut or provided for the patients. This tool helps board of directors, managers, and facilities...
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...program receiving a 15% budget cut, the organization must eliminate a health care need that will accommodate for the budget cut but also make a small impact on the wellbeing of the consumers. “The state Medicaid program will no longer pay for preventative or routine dental care for adults other than those with developmental disabilities” (Washington State Health Care Authority, 2013, para. 2). There is a set of decision-making tools used to determine this decision. The informed decisions toolbox helps managers over come barriers such as time pressures, preveived threats to evidence base, and determining the quality of the information (Rundall, Martelli, Arroyo, & McCurdy, 2007). This paper describes how using the toolbox affects accountability, a questioning organization, and knowledge transfer. The Toolbox To make an important decision that will affect the wellbeing of the company, management must consider using a tool from the informed decision toolbox. There are six tools in the toolbox to assist managers in overcoming barriers. These tools consist of framing the question, finding sources of information, assessing the accuracy of the evidence, assessing the applicability of the evidence, assessing...
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...still provide services to those that has Medicaid. Effective decision-making is a key component in managing an organization. Managers make important decisions daily that affect the operations and quality of their organization. Every manager has their own perspectives, some are natural at decision-making and some are not. Manager’s still uses tools such as the Informed Decisions Toolbox (IDT) by Rundall et al, it helps managers with their decision-making. Clark County Clinic has gone through budget cuts, a 15% budget cut. The organization has a number of decisions such has how to achieve the goal and still maintain the best quality care for their Medicaid clients. There is an article that have been written in 2007 by Rundall et al that describes the decision-making process and has a set of tools that may help this clinic make the most informed and effective choices determine which services should be changed to meet their budget needs (Rundall et al., 2007). The managers of Clark County Clinic will determine their decision-making based on an Informed Decisions Toolbox. The Informed Decisions Toolbox is a research that has evidence in decision making. The IDT has 6 steps that managers can follow to take control the decision-making process of the problems. The 6 steps are: framing the question behind the decision, finding sources of information, assessing the accuracy of information, assessing the...
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...VERBAL COMMUNICATION Definition Effective verbal or spoken communication is dependant on a number of factors and cannot be fully isolated from other important interpersonal skills such as non-verbal communication, listening skills and clarification. Clarity of speech, remaining calm and focused, being polite and following some basic rules of etiquette will all aid the process of verbal communication. See our page: Effective Speaking for more information. Skills required: Opening Communication In many interpersonal encounters, the first few minutes are extremely important as first impressions have a significant impact on the success of further communication. Everyone has expectations and norms as to how initial meetings should proceed and people tend to behave according to these expectations. If these expectations are mismatched, communication will not be effective or run smoothly, and some form of negotiation will be needed if relations are to continue. At a first meeting, formalities and appropriate greetings are usually expected: such formalities could include a handshake, an introduction to yourself, eye contact and discussion around a neutral subject such as the weather or your journey may be useful. A friendly disposition and smiling face are much more likely to encourage communication than a blank face, inattention or disinterested reception. Reinforcement The use of encouraging words alongside non-verbal gestures such as head nods, a warm facial expression and...
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...Workplace toolbox talk and training Submission details This assessment task must be submitted online by the due date specified by your Trainer/Assessor and Assessment Plan for this unit of competency. Any variations to this arrangement must be approved in writing by your assessor. Submit a file with the required evidence attached as per * Specifications below * Acknowledgement of original work, free from plagiarism as per Assessment Plan * Special needs (considerations if required see Access & Equity Policy) * Naming document files when submitting assessments (check Assessment Plan) * Identifying the Unit, Assessment Number, student name, student number, date and page number (preferably) in the Footer * Assessor’s additional and particular instruction/s. Performance objective You must be able to research and conduct a toolbox talk on workplace hazards as well as provide effective workplace training and coaching. This assessment is broken into parts A and B. Assessment description You must select, research, and conduct a toolbox talk on a type of workplace hazard that you have identified through consultation with a work group. Toolbox talks are regularly delivered to small groups in the workplace and highlight workplace health and safety issues. The hazards you can choose from include: * * physical hazards * psycho-social hazards * mechanical hazards * chemical hazards * sources of energy * environmental hazards...
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...use resources optimally. This is becoming a growing model among health care organizations and its managers. However, there are barriers for managers in using evidence decision-making. Time is a big barrier, there are deadlines that managers usually have to work with that is very time consuming. For instance, plenty of time is required to research, accessing relevant data, reliance on outside consultants and subordinates in acquiring quality information, politics, and lack of resources. The use of an sufficient decision-making tool that assists managers in efficiently making strategic, evidence based decision-making as well as improving the performance of their organizations is the Informed Decisions Toolbox as outlined by Thomas Rundall. The Informed Decisions Toolbox is a series of steps to facilitate the decision-making process. Case Study In this case study, a county clinic that provides care to Medicaid recipients has a 15% budget cut within the department. The current budget constraint is forcing management to make a decision regarding what clinical services should be eliminated and how to best address these changes that will affect the Medicaid...
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...County clinic in Memphis, Tennessee. The clinic serves the local Medicaid population. The clinic’s budget was cut by 15%. Rebecca must determine what clinical services can be eliminated or introduced to best address the healthcare needs of the patients. In order to make the best decision for the clinic and the patients, Rebecca will use the Informed Decisions Toolbox (IDT) (Arroyo et al, 2007). Following is a case study of Rebecca’s decision making process. The IDT will be defined and Rebecca will follow the steps to make an informed decision. Her decision to focus the clinic’s efforts on early intervention, preventive medicine, STD/HIV prevention, and case management will be explained. Why the Four A’s tool is determined to be the most effective in making the decision will be addressed (Arroyo et al, 2007). Finally, the use of the toolbox and the affect on the clinic’s accountability, knowledge transfer, and becoming a questioning organization will be studied. The Informed Decisions Toolbox (IDT) The Informed Decisions Toolbox (IDT) is a set of tools that can be useful to healthcare managers when making decisions. The toolbox consists of six steps that can lead to a well-informed decision: Step 1: Framing the question Step 2: Finding sources of information Step 3: Assessing the accuracy of the evidence Step 4: Assessing the applicability of the evidence Step 5: Assessing the "actionability" of the evidence Step 6: Determining if the information is adequate (Arroyo...
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...Decision-Making Case Study The looming changes in health care are a frequent topic in many meetings with health care providers. Budget cuts are not just a speculation but are a reality. Decision-making to provide quality patient care with less money is a challenge at best. The Informed Decisions Toolbox can assist administrators and managers with evidence-based decisions that will allow patients to receive the quality care they deserve while reducing expenses. The Informed Decisions Toolbox The Informed Decisions Toolbox (IDT) is the result of a research study to aid managers with making evidence-based decisions that improve organizational performance. The IDT has an approach of six steps to decision-making (Rundell, et al, 2007): (1) framing the management question, (2) finding sources of information, (3) assessing the accuracy of the information, (4) assessing the applicability of the information, (5) assessing the actionability of the evidence, and (6) determining if the information is adequate (p. 325). As a facilitator for the use of evidence-based research in decision-making, the IDT assists decision-makers with estimating how operational and strategic decisions will have an effect on the organization. Evidence-based decision-making is not new to the health care industry. Clinicians have incorporated evidence-based research for years when making patient treatment determination. The use of evidence-based research for decision-making in other realms of healthcare...
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...MATLAB Giriş Mehmet Siraç ÖZERDEM EEM - Dicle Üniversitesi Bilgisayar Programlama MATLAB TANITIM MATLAB NEDİR? MATLAB®(MATrix LABoratory – Matris Laboratuarı), temel olarak teknik ve bilimsel hesaplamalar için yazılmış yüksek performansa sahip bir yazılımdır. 1970’lerin sonunda Cleve Moler tarafından yazılan Matlab programının tipik kullanım alanları: – Matematiksel (nümerik ve sembolik) hesaplama işlemleri – Algoritma geliştirme ve kod yazma yani programlama – Lineer cebir,istatistik,Fourier analizi,filtreleme,optimizasyon,sayısal integrasyon vb. konularda matematik fonksiyonlar – 2D ve 3D grafiklerinin çizimi – Modelleme ve simülasyon (benzetim) – Grafiksel arayüz oluşturma – Veri analizi ve kontrolü – Gerçek dünya şartlarında uygulama geliştirme şeklinde özetlenebilir. 2 1 MATLAB TANITIM - Matlab, ABD menşeli The Mathworks Inc. şirketinin tescilli adıdır. Web adresi: http://www.mathworks.com - Matlab’in Türkiye temsilcisi Bursa merkezli Figes firmasıdır. Web adresi: http://www.figes.com.tr 3 MATLAB TANITIM MATLAB, matematik-istatistik, optimizasyon, neural network, fuzzy, işaret ve görüntü işleme, kontrol tasarımları, yöneylem çalışmaları, tıbbi araştırmalar, finans ve uzay araştırmaları gibi çok çeşitli alanlarda kullanılmaktadır. MATLAB, kullanıcıya hızlı bir analiz ve tasarım ortamı sağlar. • Matlab programını C/C++ diline dönüştürebilir, • 20. dereceden bir denklemin köklerini bulabilir, • 100x100 boyutlu bir matrisin...
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...success to the final outcome. This paper will discuss how one can use the Informed Decision Toolbox to effectively determine which clinical services can be introduced or eliminated in a county clinic with a budget cut of 15%. The best tool used for the decision as well as how the toolbox affects accountability and knowledge transfer will also be discussed. As a manager in a county clinic that provides health care to Medicaid patients, clinical services can become expensive for the facility. Within the clinic, numerous services are offered including: blood pressure screenings, blood sugar testing, pregnancy tests, flu/shingles/HPV vaccinations, yearly examinations for women, free antibiotics for patients, and affordable prescription drugs. Multiple services are offered at the clinic to alleviate the community traveling to different health care facilities for their health care needs. “It is believed that integration of care leads to greater public access, including more equitable access for people from different communities and socio-economic backgrounds, a more convenient and satisfying service, and better health overall” (Dudley & Garner, 2011, para. 2). It is difficult for one to eliminate any of these services because of the budget cut, so Rundall’s Informed Decision Toolbox came in to play to aid in finding the most logical answer. According to Rundall (2007), “The Informed Decision Toolbox (IDT) is an integrated set of tools that assists healthcare managers and policymakers...
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...Decision - Making Case Study Analysis HCS/514 Managing in Today’s Health Care Organizations August 28, 2015 Introduction The Agency for Healthcare Research and Quality (AHRQ) produced a set of developmental tools to aid decision makers in discovering and interpreting evidence related decisions. These developmental tools are to promote the use of evidence-based management within a health care setting. The informed decision toolbox was created to help merge the gap between evidence based research and decision making within an organization (Crump & Spurgeon, n.d.). These tools consist of six steps that will guide managers and decision makers in constructing well informed decisions. The steps are composed of; framing the question behind the decision, finding sources of information, assessing the accuracy of information, assessing the applicability of the information, assessing the actionability of the information and determining if the information is adequate are used by managers to consider if the decision they are making is well informed (Young, 2002). Framing Questions and Locating Sources By framing the question behind the decision, a manager must first identify what the decision is and then determine what information must be obtained in order to make a well informed decision. To properly make a well informed decision, a manager must frame a question that will properly translate what research must be conducted to begin research. The questions will be used...
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...when making a decision. As technology changes, so does the process of decision-making. Budget Cuts and Medicaid Patients As a manager for Hillsborough county clinic in Florida that services the population who utilizes Medicaid just received a budget cut by 15%. The manager is responsible for deciding what clinical services to cut or introduced new services to lower the budget. A management meeting is held to determine which services will be eliminated, kept or add new services to replace olds services to lower the budgeted amount. During the meeting research is compiled out of evidence-based decision-making practices, and the staff is involved in the decision-making process as well. The Informed Decision Toolbox or IDT was developed to assist with decision-making processes. Rundall wrote in order for managers to overcome barriers they must follow six key steps, “ (1) framing the management question, (2) finding sources of information, (3) assessing the accuracy of the information, (4) assessing the applicability of the information, (5) assessing the...
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