Barbara receives an email from her manager asking about the progress of the strategic plan. The manager informs Barbara that UCCO is wanting to implement a new electronic health record (EHR), to improve the overall process of providing quality patient care; and organizational challenges. After her discussion, Barbara realizes that she would need to complete a situational analysis. By performing a situational analysis, planners can help anticipate and manage change. Understanding the internal and external environment is also critical to an effective strategic plan. For the external environment, planners look at opportunities and threats. For the internal environment, planners look at strengths and weaknesses.

For this project assignment on UCCO, complete a minimum of a 1-2 page report and two SWOT tables to describe key opportunities, threats, strengths, and weaknesses in selecting an electronic record system. Your written report should address the following concepts:

Visit the Rasmussen online Library and search for a minimum of 2 articles covering the topics of electronic health record implementation. Conduct academic research using the library’s databases, like:

• CINAHL
• Discovery
• Business Source Complete via EBSCO
• Business via ProQuest
• What is the current economic situation for UCCO? What suggestions can Barbara make to help mitigate financial issues? Use the financial review provided in the UCCO case.
• What type of electronic record system should Barbara recommend for the company? What is her best option? What are the financial implications? Explain the choice based on what the system can provide in comparison to the organizational challenges?

Visit the Internet and search for a minimum of 2 electronic health record systems. Search for types of EHR systems.

To complete this assignment, construct two situational/SWOT analysis tables – one for each electronic record system being considered – that contains the following:

• External influences – opportunities and threats.
• Internal influences – strengths and weaknesses.
• Trends that can impact clinic performance, market and financial position
• EHR System fun 
• ctions and capabilities
• EHR End-user requirements and ease of use

Remember to integrate citations accurately and appropriately for all resource types; use attribution (credit) as a method to avoid plagiarism. Use NoodleBib to document your sources and to complete your APA formatted reference page and in-text citations.

  

Water filters for municipality water treatment plants are assembled by stacking and rolling several pieces of membranes into a cylinder. One of the first operations in the process of assembling a cylindrical water filter is called the ‘Prepper’. This job involves pulling thin membrane sheets from large rolls of membrane, inserting netting between the membrane sheets, and transferring and stacking the membrane sheets to a tray to be used for the next operation. 

Recordable musculoskeletal disorders are shown on the OSHA 300 log from the previous year. In addition, current employees performing this job completed a body part discomfort survey. 

Estimates of pinch force were recorded using a pinch grip dynamometer, with pinch grips between 10 lbf and 11 lbf observed when pulling membranes from the rolls, where the employees maximum pinch grip force capability was measured as 14 lbf.

Finally, an employee questionnaire was given to several employees, with the following questions and responses from the employees:

Question: Which tasks are the most difficult to perform?

· Pulling of membranes is contributing to the pain/discomfort currently experiencing

· Repetitive reaching to the bottom roll

· Netting location is too high, feels it in shoulder area at the end of the day

Question: Changes to the job which would reduce musculoskeletal/physical stress?

· Auto-feed (auto indexing of the roll) of membranes 

· Lower the netting retrieval location

Utilizing the information above, using RULA (and Washington State Risk Factor Checklist – WSRFC), perform an ergonomics job analysis consisting of the following:

· Ergonomic job analysis – assume workers work on this job for 8 hours a day

o Identify the major tasks that the employees perform to complete this job

o Utilizing RULA (and the Washington State Risk Factor Checklist), determine if this job might need to be addressed ergonomically

o Identify specific risk factors for WMSDs (e.g., shoulder abduction, etc.) and which tasks they occur in (pictures of risk factors from video would be helpful)

o Determine if any risk factors you identified are consistent with employee discomfort feedback and WMSDs on OSHA 300 log

o Identify the root causes for the presence of the WMSD risk factors

· Potential Interventions/Controls

o Identify potential engineering controls to reduce the WMSD risk factors identified – utilize results from RULA (and WSRFC) analysis

o Identify the specific WMSD risk factors that will be reduced or eliminated for each potential engineering control identified

Report Grading 

· Professional appearance: title page, tables and pictures within report with captions, correct spelling/grammar, appendix for complete checklists (3 pts)

· Introduction paragraph identifying purpose of ergonomic assessment, data and assessment methods utilized for assessment (3 pts)

· Identification of major tasks employees perform to complete the job (3 pts)

· Used ergonomic assessment method(s) (RULA, WSRFC) to clearly determine if exposure to WMSD risk factors elevates risk, determined need for interventions (3 pts)

· Specific WMSD risk factors identified and in which major tasks they occur in (3 pts)

· Determine if any WMSD risk factors identified are consistent with employee questionnaire feedback, Body Part Discomfort Survey results, OSHA 300 log entries (3 pts)

· Identified root causes for the presence of WMSD risk factors (3 pts)

· Identified engineering controls to reduce/eliminate WMSD risk factors identified from ergonomic assessment, utilizing results from RULA (and WSRFC) analysis (3 pts)

· Identified specific WMSD risk factors each of the engineering controls identified will reduce/eliminate exposure to (3 pts)

· Identified major tasks that the potential engineering controls will impact (3 pts)

· Utilized employee information, survey data, in analysis/development of controls (3 pts)

· Submitted completed RULA (and WSRFC) worksheets (before/after implemented controls) – in Appendix

o Worksheets (RULA/WSRFC) from Initial assessment of Prepper job (3 pts)

o Worksheets (RULA/WSRFC) reflective of Prepper job after implementation of potential engineering controls (3 pts)

  

Figure 1. Water treatment – filtering system

Figure 2. Finished membranes for water treatment – filtering

Figure 3. Partially finished membrance 

NR283 Pathophysiological Process RUA
NR283 Pathophysiological Process RUACriteriaRatingsPtsThis criterion is linked to a Learning OutcomeIntroduction of Disease (20 points/20%)Required criteria: One (approximately 200 words) paragraph, Includes disease description, and Includes epidemiology of disease

20 ptsIncludes no fewer than 3 requirements for section.

18 ptsIncludes no fewer than 2 requirements for section.

16 ptsIncludes no less than 1 requirement for section.

7 ptsPresent, yet includes no required criteria.

0 ptsNo requirements for this section presented.
20 pts
This criterion is linked to a Learning OutcomeEtiology and Risk Factors (20 points/20%)Required criteria: Common causes of the disease or condition, Risk factors for the disease or condition Impact of age, Prevalence based on gender, Influence of environment, Genetic basis of disease, Lifestyle influences, All information supported by current

20 ptsIncludes no fewer than 8 requirements for section.

18 ptsIncludes no fewer than 7 requirements for section.

16 ptsIncludes no fewer than 6 requirements for section.

7 ptsIncludes 5 or fewer requirements for section.

0 ptsNo requirements for this section presented.
20 pts
This criterion is linked to a Learning OutcomePathophysiological Processes (20 points/20%)Required criteria: Describes changes occurring at the cellular, tissue, and/or organ level that contribute to the disease process, Describes adaptation of the cells and body in response to the disease, Relates disease processes to manifested signs and symptoms.

20 ptsIncludes no fewer than 3 requirements for section.

18 ptsIncludes no fewer than 2 requirements for section.

16 ptsIncludes no less than 1 requirements for section.

7 ptsSection present, yet includes no required criteria.

0 ptsNo requirements for this section presented.
20 pts
This criterion is linked to a Learning OutcomeClinical Manifestations & Complications (20 points/20%)Required criteria: Describes the physical signs and symptoms that are important in considering the presence of the disease, Identifies signs that contribute to diagnosis of the condition, Identifies symptoms that contribute to diagnosis of the condition, Identifies complications of the disease, Discusses the implications to the patient when complications are left untreated.

20 ptsIncludes no fewer than 4 requirements for section.

18 ptsIncludes no fewer than 3 requirements for section.

16 ptsIncludes no fewer than 2 requirements for section.

7 ptsIncludes 1 or fewer requirements for section.

0 ptsNo requirements for this section presented.
20 pts
This criterion is linked to a Learning OutcomeDiagnostics (10 points/10%)Required criteria: Includes list of common laboratory and diagnostic tests used to determine the presence of the disease, Discusses the significance of test findings in relation to the disease process.

10 ptsIncludes no fewer than 2 requirements for section.

7 ptsIncludes 1 or less requirement for section.

0 ptsNo requirements for this section presented.
10 pts
This criterion is linked to a Learning OutcomeAPA Style and Organization (10 points/10%)Required criteria: References are submitted with assignment, Uses appropriate APA format (6th ed.) and is free of errors, Grammar and mechanics are free of errors, Paper is 2-3 pages, excluding title and reference pages, At least two (2) scholarly, primary sources

10 ptsIncludes no fewer than 5 requirements for section.

9 ptsIncludes no fewer than 4 requirements for section.

8 ptsIncludes no fewer than 3 requirements for section.

4 ptsIncludes 1-2 requirements for section.

0 ptsNo requirements for this section presented.
10 pts
Total Points: 100

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Community Problem

The community issue addressed is the high prevalence rates of obesity and overweight. In this regard, the challenge is comprehensive, owing to categorizing the aspect as a lifestyle condition. Subsequently, other factors, such as nutrition, inadequate physical exercise, and sedentary lives contribute to the issue. The problem is significant, owing to substantial correlations between obesity, overweight, and other comorbidities. The implication is that obesity is a risk factor for other illnesses, including cardiovascular diseases, obesity, cancer, and other issues. In such a case, programs and initiatives implemented to reduce prevalence should be adequate. Accurate evaluation is critical in attaining the best outcomes, including follow-up, adherence, and addressing elements that require a change to meet emerging needs.

Structure

The evaluation structure follows a pre-and post-intervention approach. In this regard, the emphasis is on the initiatives and their ability to meet the set goals. According to the CDC (2016), obesity evaluation measures often employ baseline data to compare progress at the post-implementation phase. In this regard, the structure entails collecting baseline data of the metrics, such as BMI, waistline, and weight, among other anthropometric factors. After the intervention, such as a community education program sensitizing users on the risk factors associated with obesity and overweight, the evaluation will compare the baseline measures to assess any progress. To illustrate, evaluating how the BMI changed after a participant implements recommended steps will help determine efficacy. As a result, the suggested structure focuses on a pre-and post-intervention approach.

Process

The evaluation process will be goal-based. Subsequently, the procedure will focus on specific objectives determined by the set metrics. According to Seral-Cortes et al. (2021), an effective evaluation process should emphasize knowing the goals and project outcomes, testing them against set results. Additionally, precise objectives and measurable data are also vital in promoting an effective process of assessment. Other components or steps incorporate using a logic model to describe the intervention or program, formulating the project’s acceptability criteria, and developing required questions. In the proposed process, a goal-based method will apply. Subsequently, post-intervention, goals will be formulated or indicators of success, such as reducing the prevalence levels by 25% in the first three months. Behavioral changes, including nutritional awareness assessed by selecting at least three healthy diets after four weeks of community education, will be helpful.

Outcome Standards

The outcomes will focus on behavior and prevalence levels in the long-term from the example of community education and awareness. As described, after three months, disease prevalence at the community level will reduce by 25%. Additionally, behavioral aspects encompass correct exercise uptake, avoiding risky diets, and limiting lifestyle conduct, such a sedentary life that increases the disease’s risk and severity. As determined by the metrics, anthropometric measures, including waistline and weight, are also vital. As a standard and primary measure reducing BMI levels by at least 20% will indicate success and suggest the individual is making progress towards a healthy weight and avoiding obesity. As a result, outcome standards will focus on lifestyle behaviors, disease prevalence, and specific metrics or measures, such as BMI and weight reduction after participation.

References

CDC. (2019, September 11). Obesity evaluation measures. Centers for Disease Control and Prevention. https://www.cdc.gov/workplacehealthpromotion/health-strategies/obesity/evaluation-measures/index.html

Seral-Cortes, M., De Miguel-Etayo, P., Zapata, P., Miguel-Berges, M. L., & Moreno, L. A. (2021). Effectiveness and process evaluation in obesity and type 2 diabetes prevention programs in children: A systematic review and meta-analysis. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-021-10297-8

REPLY 2

Community Health Problem & Improvement Plan

Obesity is a complex community health problem in the United States. The issue results from various behavioral and genetic factors. Behavioral factors contributing to obesity include physical activity and inactivity, medication use, and dietary choices (CDC, 2021). Additional factors such as education and skills, socio-economic conditions can also predispose individuals to obesity. Obesity is a complex and severe community healthcare problem. The complication is associated with cardiovascular diseases. It is also associated with poor mental health and low life quality. Obesity affects every age group in the United States. The US experiences an increasing prevalence among all population segments. The US demographic forms part of developed nations’ populations whose obesity increase is estimated to be 30% higher than the prevalence in developing countries (Çakmur, 2017). Out of the 25% of overweight American children, 11% of them are obese. This increase places obesity at an epidemic level.

Analyzing an obesity healthcare improvement plan requires healthcare authorities to consider various aspects of the program. First, one can examining the physical activity environment to determine barriers and opportunities to accessing social reinforcement. The dietary environment assesses the availability, attractiveness, and affordability of healthy foods. The analysis includes healthcare and work environments where healthy diets, community support, and physical activities can be promoted. Lastly, the study should consist of the school environment where young people receive obesity education and healthy food and physical activity opportunities. Various outcome standards can also be measured. One of the outcomes is increased obesity research. Community obesity management plans should increase research into the causes, effects, and solutions for obesity. The analysis should include the strength of surveillance monitoring systems. Healthcare, government health agencies, and non0profit organizations should have robust programs that measure the prevalence and set solutions for the problem. Lastly, evaluating the plan should consider the problem prevalence within given timelines to determine success.

References

CDC. (2021). Adult Obesity. Centers for Disease Control and Prevention. Retrieved 28 March 2021, from https://www.cdc.gov/obesity/adult/causes.html.

Green, L., Sim, L., & Breiner, H. (2013). Evaluating obesity prevention efforts. The National Academies Press.

Çakmur, H. (2017). Obesity as a Growing Public Health Problem. Adiposity – Epidemiology and Treatment Modalities, 11-21. https://doi.org/10.5772/65718

200 WORDS EACH

 

Prior to posting your answer to this discussion I want you to read the following document which is a brief recap of some very “Common Pitfalls” that second language learners of Spanish commit. This is a great document to review regularly, and it is based on many of the points made in the book Breaking out of beginner Spanish that I mentioned earlier in the course.

https://edge.apus.edu/access/content/group/72bb1e02-82a8-4938-b1b9-5702e2e08168/Discussion%20Boards/CommonPitfalls.doc

Tu Vecindario

Using the Spanish you have learned from Rosetta Stone and this lesson, write about three places in your home town or city that you frequent other than work.

Where do you go and why? What is your favorite place to go? What are some landmarks in your neighborhood? Are there any special activities or festivities during the year? 

You are free to answer the questions however you wish, provided that your answer addresses the writing prompt. (tu vecindario). Your post should consist of at least 8 complete sentences in Spanish. 

Example: Voy al supermercado dos veces cada semana para comprar pescado y frutas. Está cerca de mi casa. Me gusta ir al cine una vez cada mes. Manejo 10 minutos para llegar al teatro. También visito con mis amigas para jugar naipes o para tomar un café. Viven muy cerca. Camino a sus casas. La farmacia está al centro de mi vecino. Hay muchas personas allí que compran sus medicamentos. Para la Navidad, hay desfiles al centro. Tiene un gran árbol con muchas luces. 

Respond to two peers in Spanish. Make two comments and ask two questions about the content of their posts. Replies should be at least 5 sentences each.  Use appropriate Spanish language punctuation and accent marks. The document Accents and Punctuation tells you how to do this. (Becoming familiar with this document was part of week one’s assignments).

• https://studyspanish.com/typing-spanish-accents 
• You can also easily create the Spanish characters using the Special Characters feature above the text field. (If you don’t see the omega or blue horse shoe, the icon may be a cube with blue and red symbols on it. They both represent the special characters feature).
  If you have a laptop and can’t create ALT commands, or if you find it more convenient, there is an icon on the gray area above the text field (where you type your post),  find the smiley face, and close by you should see an icon that is either a blue horse shoe (omega) or a box with red and blue symbols on it. This is the special character icon…clicking this box will allow you to choose special characters. You can use this box to create Spanish characters and punctuation marks.
• Please find attached a Power Point file on when to place accents on Spanish words. I wish you all the best this week and look forward to reading your comments!