Week 11 Discussion: Anemias

M.W. is a 69-year-old African American man and was referred to clinic for evaluation of increasing shortness of breath.

Past medical history 

Chronic renal insufficiency

Hypertension

Congestive heart failure

Diabetes mellitus type 2, poor control

Deep vein thrombosis

Alcohol abuse

Chronic obstructive pulmonary disease with respiratory failure

Family history

Noncontributory

Physical examination

Height 69 inches, weight 205 lb

Blood pressure: 138/88

Pulse 86 beats/min, regular

Lungs clear, neck supple negative for jugular venous distention

Lower extremities +1 edema

Laboratory findings

Scr = 2.8 K+ = 5.1

BUN = 56

Na+ = 147

WBC = 5.0

Hb = 8.2

Hct = 24.6

Serum ferritin 189 mg/dL

Social history

Tobacco: 52 pack-years

Alcohol: distant past

Diagnosis: Anemia Of Ckd: Answer the following questions in full sentences using APA citations. 

1. List specific goals of treatment for M.W.

2. What drug therapy would you prescribed? Why?

3. What are the parameters for monitoring success of therapy?

4. Discuss specific patient education based on the prescribed therapy.

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What over-the-counter and/or alternative medications would be appropriate for M.W.?

7. What dietary and lifestyle changes would you recommended for M.W.?

 When planning for instruction and assessments, it is crucial to examine performance data in order to modify and adjust instruction and assessments. This not only promotes student progress, but also helps to meet the diverse learning and academic needs of all students.

Because reading and writing skills are crucial for success in all content areas, standardized tests evaluate students reading and writing skills on a regular basis. Review the “Sample Standardized Test Scores within High School Reading/Writing for Informational Text” found in topic materials. Imagine that these are last year’s reading/writing results from your high school for the students currently in your classes.

Based on the student assessment results in topic materials “Sample Standardized Test Scores within High School Reading/Writing for Informational Text”, create a 500-750 word Assessment Analysis Action Plan describing how you will adjust your instruction to close learning gaps. Include in your plan:

• A state reading or writing standard to integrate with your content area
• Patterns and gaps in learning identified within the data
• At least 2-3 supplemental reading/writing resources to integrate into your content area instruction and rationales to explain how they would be utilized
• Minimum of 2-3 lesson topic ideas with rationales that address the specific gaps in student achievement in reading/writing
• At least 2-3 assessment ideas to monitor student progress in attaining the content
• How to provide feedback to students on their progress
• How to work collaboratively with teachers in other content areas to support them in closing learning gaps

Support your action plan with a minimum of three scholarly resources.

APA format is not required, but solid academic writing is expected.

This assignment uses a rubric. Review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

In responses to your peers, share if you believe their arguments are sound. Use the literature and your learnings from previous modules to support your observation.

Post # 1

Ruth Kelly 

Health information technology (HIT), when used appropriately, has so many benefits to promoting the safety and quality of care.  Meaningful Use was one of the many measures under the Health Information Technology for Economic and Clinical Health Act of 2009 (Centers for Disease Control and Prevention [CDC], 2020).  The criteria under meaningful use were devised to maximize the benefits of HIT.  It sets objectives for healthcare professionals and hospitals to improve the quality, safety, and efficiency of healthcare;  reduce health disparities, engage patients and their families, improve the coordination of care, improve population and public health, and maintain the privacy and security of patient health information (Health Information Technologies [HIT], 2020).  In 2018, the former program was expanded with an increased focus on interoperability and patient access to information (CDC, 2020).  Compliance with these objectives is measured by requiring eligible organizations and professionals who are treating Medicare and Medicaid patients to report on the Quality Payment Program requirements under the four main objectives (CDC, 2020).  Simply stated, these objectives ensure pertinent data collection, report clinical quality measures, provide clinical decision support, and support the exchange of key clinical information. 

Reference

Centers for Disease Control and Prevention (2020). Public health and promoting interoperability programs. https://www.cdc.gov/ehrmeaningfuluse/introduction.html

Health Information Technologies (2020). Meaningful use definition and objectives.https://web.archive.org/web/20111018063338/https://www.healthit.gov/providers-professionals/meaningful-use-definition-objectives

Post # 2

Maureen Calnan 

Meaningful use of the electronic health record is a concept that has many benefits.  The Health Insurance Portability and Accountability Act (HIPAA) was introduced in 1996 to protect the personal information, especially health information, of patients in a world of increasing exchange of electronic information (Bell, 2018; Bowie, 2019).  In 2009, the American Recovery and Reinvestment Act (ARRA) overhauled the regulation of health information technology (HIT).  Included in the ARRA was a section on HIT for Economic and Clinical Health (HITECH) which sought to promote the implementation and meaningful use of HIT (Bell, 2018; Bowie, 2019).  As part of the ARRA, the Centers for Medicare and Medicaid Services (CMS) also began an incentive program for healthcare organizations that demonstrated meaningful use of an EHR.  This meant that facilities were expected to use their EHR to capture and disseminate meaningful data, enhance clinical practice, and improve quality outcomes (Bell, 2018; Bowie, 2019).  All of this legislation aimed to improve the quality and safety of healthcare in the U. S.  

The Electronic Health Record Incentive Program (formerly “Meaningful Use”) is an example of the shift from volume to value-based purchasing and quality initiatives in healthcare.  In under a decade, over a half million providers and hospitals took advantage of this program.  Although at face-value, the program cost over $37billion, the hope is that the cost savings from better coordination of care through enhanced information sharing will be even greater Nash et al., 2019).  This means increased efficiency due to fewer duplications of services, increased safety due to more readily available information about patients’ health history and vital facts such as drug allergies.  Meaningful use of the EHR means better quality, safer care for patients, and costs savings for hospitals, providers, and patients.

 References

Bell, K. (2018). Public policy and health informatics. Seminars in Oncology Nursing, 34 (2), 184 – 187.

Bowie, M.J. (2019). Essentials of Health Information Management: Principles and Practices. Clifton Park, NY: Cengage Custom.

Nash, D.B., Joshi, M.S., Ransom, E.R., & Ransom, S.B. (2019). The Healthcare Quality Book. Chicago, IL: Health Administration Press

 

You have already sent the memo to Mr. McAlister outlining the need for the disaster plan.  As the database administrator, you have decided to install MySQL to handle the growing need for storage for the database.  Now, in a 2-3 page report, (a minimum of two full pages of content, double spaced, APA format) discuss with the owner the need for securing MySQL and what are potential issues with security now that the system is growing larger.  Include some of the must prevalent security vulnerabilities and issues with MySQL. Again, you are relating it Home Start Realty.   Most owners will want to focus on design of a database, as it easier to comprehend.  As the database administrator, you need to focus on the need for security, so make your points known to the owner supported by facts (that you should reference in your paper). 

Save your document in MS Word memo format (or other professional memo format) and attach it to this assignment.  This assignment is worth 40 points and is due at the end of the academic week. Please make sure you spell and grammar check the document first, as errors in this respect will be deducted from the total points earned.  Make sure to provide references and cite your sources as necessary.

 Leadership and management are two terms that are used interchangeably but represent different roles that have different functions. Understanding the differences and similarities is essential for social work administrators as they develop leadership strategies within organizations. Understanding the functions associated with leadership and management roles can influence how social workers supervise and work with colleagues in administrative practice. As you prepare for this Discussion, consider how your understanding of leadership and management roles might affect you when you assume a supervisory position.   

Respond to the colleagues by explaining whether you agree or disagree with your colleague’s analysis of the similarities and differences of leadership and management and their application to a potential supervisory position in a human services organization. Provide support for your position.

Colleague VC 

RE: Discussion – Week 1

An analysis of the similarities and differences of leadership and management roles as they relate to human services organizations.

Managers are accountable for the day-to-day operations. Management is a position. Managers are appointed or assigned to specific managerial roles within an agency. Managers keep organizations flowing by safeguarding all team members and allowing all team members to feel like they are in partnership with agency missions. They keep the company stable and current. On the other hand, leaders boost the organization by setting goals, establishing a concept, and encouraging others to join in joint actions to enhance momentum. Leaders focus on what can and will be accomplished for the betterment of all parties involved (Lauffer,2011).

How these roles may affect me as I assume a supervisory position.

Supervisors are part of the team’s supervisory procedures; they provide incentives for group members to participate. Therefore, offering formal and informal views related to successful completion by joint training and support. According to the literature, since it is difficult to identify and reward emerging behaviors without shaping them, these, defined as joint leadership (Lauffer, 2011).

I have never been in a supervisory role, so I am unsure of the leadership style I would implement. However, after reviewing the literature, I would define myself as a super leader. (Lauffer,2011). I can engage others based mainly on my life experience. As a certified peer recovery specialist ( CPRS), I   interact with clients, community organizations, and recovery facilities. My role as a CPRS helps me actively expose needed knowledge-based information related to working with people with a substance abuse disorder.     My colleagues have up-to-date information on the latest Medically assisted treatment or ( MAT). As a leader,  I am available to answer any questions they may have, which allows my colleagues to establish their connection with the recovery community. They think of ways to integrate a less stigmatizing experience. Thus, they remain culturally aware that language matters when addressing the recovery community.    I am making sure my colleagues are respected and valued when working towards understanding the culture of recovery.

Reference 

Lauffer, A. (2011). Understanding your social agency (3rd ed.). Washington, DC: Sage.Chapter 8, “Leadership, Management, and Governance” (pp. 243–280)

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Colleague KP 

RE: Discussion – Week 1

Post an analysis of the similarities and differences of leadership and management roles as they relate to human services organizations.

Although often times used interchangeably and overlap as complementary of one another, leadership and management still in some respects represent different roles that have different/varying functions. According to Lauffer (2011), leadership entails inspiring others to action around a shared vision and management functions are to control, coordinate, and oversee an organization’s programs and other operations. A very important similarity is that both are crucial and essential components of successful and efficient administrative practice. Lauffer (2011) mentions that in social agencies, leadership and management are about “starting things up, getting them done, and keeping them moving” (p. 244). Some of the mentioned desired personal characteristics of both leaders and managers are drive, self-confidence, flexibility, charisma, professionalism, and vision (Lauffer, 2011). It is noted that both leadership and management have relational and situational elements (Lauffer, 2011).

A difference that exists is that while management is a position in which one is appointed the role, any one person can be a leader or demonstrate leadership traits and qualities, regardless of their title/role within the agency. Management roles arise out of interactions with other members and the needs of the situation. 

Include how your understanding of these roles may affect you as you assume a supervisory position.

As noted by Lauffer (2011), it is important to keep in mind that without good leadership one’s agency would be unable to effectively chart its own directions or to change those directions as needed and without good management, it would be unable to coordinate all the activities necessary to get to where it hopes to be going. There exists distinct leadership behaviors to keep in mind that managers may perform in various organizational situations included, but are not limited to: liaison, monitor, disseminator, spokesperson, resource allocator, and negotiator, in which these roles are all situationally specific and designed to support personnel and organizational efforts to achieve specific program and managerial goals (Lauffer, 2011). By having a good understanding of leadership and management and how they overlap, yet differ, situationally, it will allow for implementation of scientifically efficient strategies and techniques to demonstrate positive outcomes in both categories.

References

Lauffer, A. (2011). Understanding your social agency (3rd ed.). Washington, DC: Sage.

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