corona

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As you have seen in the news, coronavirus is in the US now. I am opening this up as an extra discussion, worth the same points as a normal discussion, and I will keep it open for several weeks as we learn more about this novel virus and its impact. 

Rapid and open sharing of data by scientists is what has enabled this information to be shared across the globe:

(1) Take a look at the phylogeny generated from the sequence of COVID-19 and the geography of the current outbreak

nextstrain.org  (Links to an external site.)  

(2) Now take a look at what this new virus is most closely related to by examining a phylogeny of the viruses associated with different animals (bats, snakes, pangolins, etc.). What animal did this virus most likely come from and why? What evidence was used?

Preprints are drafts of papers before they are published. As such they are not yet peer-reviewed but due to the urgent need for data in this crisis, I will suspend our normal rules and allow preprints.

You can find hints here at the preprint server for Biology, just type “coronavirus” into the search box:

www.biorxiv.org/content/ (Links to an external site.)

word analysis for assignment #12

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Using Yahoo Finance, complete the following:

  1. Select a publicly traded to company to evaluate. Do not select banks or holding companies.
  2. To the left of the Get Quotes icon, type the stock symbol or the name of the company you wish to evaluate. If you cannot find a stock symbol, search Google by entering the company name followed by the words stock symbol.
  3. Enter the stock symbol or select the symbol from the list
  4. Scroll down to the bottom left and the Financial Statements heading will display.

Requirements: (Submit via Canvas)

  1. Using the attachment below, complete the financial analysis of your company for each year. Submit the spreadsheet to me via Canvas. It will be easier if you print the financial statements.
    Access Yahoo Finance, enter the stock symbol field, Scroll to bottom left to select financial statements.
    Using Word,  analyze the data over the three year period and reference the industry averages in  the following areas:
    Staying Power
    Earning Power
    Overall efficiency ratios
    Working capital cycle ratios
    Ratio Analysis template 092617.xls预览文档
    Use CSI Market. com below to look up industry averages (Go, enter stock symbol, select Fundamentals. Use Industry column to retrieve data for all ratios except Earnings Quality and Accounts Payable turnover).
    http://csimarket.com/ (Links to an external site.)
     

Clinical Information Systems

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Electronic health records (EHRs), by streamlining how health care is provided,  can improve the efficiency of medical records and the quality of care (Jette, 2019). Clinical documentation needs to reflect and be consistent with the care provided (Jette, 2019). Tracking patient’s records and their care has improved the quality of care by reducing errors (Balestra, 2019).

Briefly describe the selected EHR software solutions. Include three features of each software in the description.

EPIC EHR

Epic is an electronic medical record that is a centralized solution for health care communication and documentation. It delivers and coordinates care through dedicated modules for many specialties, including hospitals, long-term care, labs, rehab, urgent care, and many more. This software offers many features, including but not limited to telehealth, analytics, and clinical.

Telehealth

Telehealth has a patient portal for patients to manage their care through electronic access to their healthcare information. They can schedule appointments, attend electronic telehealth visits, message their doctors, provide better health outcomes, and be accessible and available on tablets and phones. It also allows for monitoring patients in ICU, manages chronic diseases, has central deterioration monitoring, and allows case managers to manage care and coordinate discharge plans in acute care settings, hospitals, and rural settings.

Analytics

Analytics collects all the information that has been imputed and curates all the information at one point so that users can access it; it provides dashboards and reports that are utilized for benchmarking and quality improvement of patient care. Analytics allows the health care team to investigate through the built-in dashboards and quickly provide adequate care to the patient. The management of data allows for quick answers to complicated questions by combining the clinical data that has been inputted by care staff, allowing for quick decision-making.

Clinical

The clinical program is tailored to fit the organization’s needs, from workflow to the layout of screens. Clinical documentation, care planning, medications administration and orders, physician updates are at the fingertips of all staff.  Data inputted by the health care professionals are linked and streamlines to get patients healthier faster, connecting physicians through the web, mobile phones, and high other tech methods. The staff has access to one point of care date, real-time, allowing for quick response, solutions, and positive patient outcomes.

iCare Manager

iCare manager is software primarily used by assisted livings and small group homes for the elderly.  It focuses specifically on the elderly and their diagnosis and plan of care. It is a relatively new system focusing on the small providers of long-term healthcare. iCare is an electronic medical record that is a centralized electronic solution for assisted livings, providing documentation at one point that is accessible to other users within the same organization.  It delivers and coordinates care through dedicated modules specific to assisted livings. This software offers analytics, Emar, assessments, care tracker, clinical documentation, staff licensure, and staffing schedules.

EMAR

 Electronic medical records can coordinate all medications based on scheduled administration time, allow staff to sign medication administration, and send alerts to managers for any missed mediations, allowing for quick follow-up. It can set parameters, create a face-sheet with all patient demographics, including physician and pharmacy information.  Its clear screen display allows for streamlined medication administration by care staff and links with a pharmacy for accurate updates and changes with new medication orders.

Assessments

The assisted living completed routine and regular assessments on all residents based on health care regulations. iCare Manager has a component designed to meet the specific documentation requirement for delegating nurses and managers by health care regulatory requirements.

Care Tracker

Assisted Livings are required to track and document the ADLs of all the patients. Care tracker is a component of iCare, where care staff can log in and document all care provided daily. It can scan documents that can be integrated into the patient’s chart and easily accessible to the healthcare team. It tracks and sends alerts to the manager and delegating nurse any abnormal issues or concerns. For example, if a patient has not had a bowel movement for three days, an alert will be sent to quickly take the appropriate action, resulting in better patient outcomes.

All components of the iCare manager are integrated, allowing for access on mobile phones and pads. Physician, nursing team pharmacy all have access to one point allowing for seamless, efficient care and outcomes.

Compare and contrast the benefits of the two selected EHR software solutions.

EPIC and iCare are both web-based electronic health record software. Epic is aimed for use at hospitals and acute care settings; iCare is specific for assisted livings. Both have a good workflow and are easy to use; EPIC can be customized, iCare is not customizable. Epic provides a patient portal for patients to log in and manage their health care; iCare does not have a patient portal. Both allow providers to scan documents and save them in the patient’s portal, and both are easily accessible from mobile phones. Acute care and hospitals settings use EPIC, which has been around for some time and can meet their communication and documentation needs. iCare is relatively new and is still going through growing pains, but it is by far one of the best soft wares for small assisted livings with less than 16 residents. Both have issues related to web-based access. If power or connection is lost, it places the health care providers in the difficult position of trying to care without access to the patient portal and could increase errors.

Select an EHR software solution that is best suited for your workplace environment. Identify the workplace environment (hospital, stand-alone private practice, etc.) and provide your rationale for the selected software.

iCare is best suited for my care environment. As a small assisted living provider with 16 residents and low staff numbers, meeting the regulatory requirements can be challenging. iCare, with its user-friendly software, allows for easy documentation of assessments, care plans, nursing notes, and direct connectivity with pharmacy and physicians, makes it a cost-effective and user-friendly solution that meets our needs. The staff has direct access to EMAR for daily medication administration, and the caretaker tracks activities of daily living required by our regulatory board.  iCare sends alerts directly to mobile devices if medications are missed or omitted or any abnormal readings of vital signs, weights, bowel movements. Continued upgrades are needed to accommodate the changing needs of small assisted livings, according to Schopf et al. (2019), substantial development is required to improve the EHR to support patients’ health information for healthcare providers accurately. “An abundance of healthcare information can be managed through databases by using electronic medical records, and this makes data more easily shared between providers and organizations” (Kruse et al, 2018. p.14)

References

Balestar, M.L. (2019). Electronic health record: Patient care and ethical and legal implications for nurse practitioners. JNP. 13(2), 105-111

Jetté, N., & Kwon, C. (2019). Electronic Health Records—A system only as beneficial as Its data. JAMA. 2(9), DOI:10.1001/jamanetworkopen.2019.11679

Kruse, C. S., Stein, A., Thomas, H., Kaur, H. (2018). The use of electronic health records to support population health: A systematic review of the literature. Journal of Medical Systems, 42(11), 2-16. https://doi.org/10.1007/s10916-018-1075-6

Schopf, T.R., Nedrebø, B., Hufthammer, K.O., Daphu (Links to an external site.), I.K.,  Lærum (Links to an external site.), H. (2019). How well is the electronic health record supporting the clinical tasks of hospital physicians? A survey of physicians at three Norwegian hospitals. BMC Health Serv Res. 19(934). DOI: org/10.1186/s12913-019-4763-0

I NEED A COMMENT FOR THIS DISCUSSION BOARD WITH AT LEAST 2 PARAGRAPHS AND USE 3 SOURCES NO LATER THAN 5 YEARS.

Crafting a Revision Plan

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Crafting a Revision Plan

Instructions

When revising your text, follow this process:

  1. First, read the entire document. Don’t make any notes. Don’t correct any mistakes. Just read the text.
  2. Then, write one or two sentences that summarize what you have just read. Next, read the text again.
  3. This time, stop after each paragraph or section, and write one or two sentences that summarize what you have just read in that section or paragraph.
  4. Finally, look at the various summaries you have created. Do they all relate to each other? Are there sections where you need to clarify more? Are there areas that need more support material or explanation?

Make notes on your text in the margins.

Continuing the Process

Moving on, take your document and your notes and begin to revise the document. Some find that starting with a fresh piece of paper or Word document is more helpful then working on the same draft. Whatever works for you, just start revising.

Helpful Suggestions for Revising

Work with a friend or peer. Ask your friend or peer to follow the steps above when reading your paper. Ask them to explain what your paper is about. Remember: it is always a good idea to let others read your work. In fact, the Capella Writing Center offers wonderful services to writers. Go see them. There is a link in the resources for this unit’s discussion.

If you are using Microsoft word, there is a “track changes” program that allows you to add comments and make changes to texts without changing the original. This is helpful when revising.

Reflection and Revision

At this point in the course, reflect on your writing process. To conduct a reflection on the process, you will want to review a variety of documents and texts from the course. Start by doing the following:

  • Collect and read the feedback your peers have given you.
  • Collect your various drafts and outlines.
  • Review the comments your instructor has made.

As you read all the information, make note of the various areas your readers have commented on or critiqued. Do you see either similarities or differences in the comments and critiques offered to you?

Now, craft a revision plan based on the comments and observations you have collected and reviewed. This revision plan needs to include the following:

  • A listing of three areas that need improvement.
  • A detailed timeline of work still to be completed.
  • A list of any elements of the writing process that you feel you need more information on to complete the revision.

The revision plan should be at least two pages.

Your plan will scored on the following criteria:

  1. Create a revision plan that refers to comments from instructor and peer.
  2. Identify three areas for improvement.
  3. Craft a schedule that addresses elements of the writing process.

Note: Your instructor may also use the Writing Feedback Tool to give you feedback on your writing. In the tool, click the linked resources for helpful writing information.

Resources

Need 3 pages paper APA format 7 formatted paper

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Subject: Applied Statistical Methodology for Business Research Design

  1. Develop and write a 3-5 page APA 7 th ed. Formatted paper: 

Using your textbook, LIRN-based research, and the Internet, provide a complete solution to the Case Problem (Specialty Toys) presented at the end of Chapter 6 in the textbook. Include in-text citations.
.
Prepare a managerial report that addresses the following issues and recommends an order quantity for the weather Teddy product. In your report, answer the following five questions: 

  1. Use the sales forecaster’s prediction to describe a normal probability distribution that can be used to approximate the demand distribution. Sketch the distribution and show its mean and standard deviation. 
  2. Compute the probability of a stockout for the order quantities suggested by members of the management team. 
  3. Compute the projected profit for the order quantities suggested by the management team under three scenarios: worst case in which sales = 10,000 units, most likely case in which sales = 20,000 units, and best case in which sales = 30,000 units. 
  4. One of Specialty’s managers felt that the profit potential was so great that the order quantity should have a 70% chance of meeting demand and only a 30% chance of any stockouts. What quantity would be ordered under this policy, and what is the projected profit under the three sales scenarios? 
  5. Provide your own recommendation for an order quantity and note the associated profit projections. Provide a rationale for your recommendation. 

Please be sure to include in-text citations and peer reviewed references in APA format in your discussion post. 

Module 5 Activity and Module 6 Muse

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Module 5 Activity

Complete the Breaking the Prejudice Habit-Physical Appearance Categorization Activity.
 

For the discussion part of this assignment, pick one (1) of the four A-B photo groups featured. Carefully assess each person’s racial and/or physical characteristics in the single photo group you chose. Next, answer at least three (3) of the following questions (a min. of 1-2 sentences each) based on your assessment of the two people featured in the photo group.

  • In the photo group, what racial   characteristics stood out to you the most (e.g., skin color, hair texture, facial features)?
  • In the photo group, what physical  characteristics stood out to you the most (e.g. clothing condition, hairstyle, body language, accessories)?
  • Based on each person’s racial and/or physical characteristics, how might your interactions with these persons be the      same/different if you were to meet them in real life (e.g., do you believe that would you treat them differently)?
  • Is it possible that racial and/or physical characteristics can affect your judgment of a person based on first sight?      Why or why not?
  • Have you ever felt judged based on your own  racial and/or physical characteristics? Please explain.
  • Think about the racially, socially, and physically-charged roles, biases, and stereotypes that are part of our      everyday cultural script. What are some (i.e., roles, biases, and      stereotypes) that you can identify within the photo group you chose?
  • If an older generation of people (e.g., your      parents or grandparents) were to view the same photo group, do you think      they would make the same racial and physical observations that you did?      Why or why not?

Module 6 MUSE

Based on the previous module lectures and videos about income inequality, please comment on the differences between how poverty affects health disparities versus how income inequality affects health disparities.

Replies

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Discussion post 1: 200 words

Stressed Out and Burnout Nurses

Why are so many nurses stressed out or have burnout, there are so many reasons but one big reason is staffing shortage. Nurse staffing has some ethical and legal issues that does cause a nurse to be stressed or have burnout. As a nurse if you have a heavy assignment due to not enough staff working, and you are extremely busy, so that you may not be able to provide adequate care to all the patients in your assignment. The nurse may be able to administer all the patient’s medications and other medical interventions but they may not be able to provide the psychosocial support that they may need, since their patient assignment is heavy. There could be other things that may be missed or forego and it can put the patient at risk for a poor outcome. This affects the nurse in an ethical and moral way by being placed in the position to decide on doing just the basics for all their patient’s because they are short staffed and do not have time to do all of what the nurse should do (Lowrie, n.d.). A nurse choosing what they should do or not do for a patient adds a lot of stress on them, for being in an already stressful job this can cause burnout.  I find when I have heavy assignment due to being short staff that something has to give, most of the time it is the documentation. I find myself staying late to complete my documentation, but that is not a good practice since I may not always remember everything I needed to document. Accurate documentation is very important for nurses to complete, the old saying is – if it is not written down it was not done. If a nurse needs to go to court for lawsuit by a patient and the documentation is not accurate enough or very little documented, the nurse may be liable for neglect or harm which may cost the nurse their license or worse. This is just one legal issue that can be associated with short staffing, the hospital management is aware of the short staffing problem which all healthcare facilities are facing and they are trying to find a solution for this problem. Short staffing will continue until there is a solution, some nurses may not be able to wait for the solution, the stress may be too much so they may choose to leave the nursing profession all together, causing more short staffing. The public may be aware that short staffing is a major issue and that failure of nursing care can result in grounds for criminal and civil prosecution according to the Federal Civil False Claims Act (Lowrie, n.d.). Nurses experience job dissatisfaction with continuous staffing shortage, leads to increase stress and burnout for all nurses which can cause the nurse physical distress/illness. Nurses need to make sure they take care of themselves and encourage self-care to our fellow co-workers; this can be hard for the nurse to do since they are the caregivers.

References

Lowrie, L. (n.d.). Ethics & Legal Issues in Nurse Staffing. Retrieved June 2, 2021, from smallbusiness.chron.com

 

Discussion post 2 200 words: Nursing shortage and burnout are scary words that we are facing even now in the company where I work. Many think of hospital settings and nursing homes where this usually occurs, but this is happening across the profession of nursing.

Corona Virus has done a number on reducing our nursing workforce across the world. Not only have many nurses died from the virus, but many have left their jobs with a genuine fear that they could be next. Many have quit from being stressed about not having adequate protection, but those that have stayed have gotten burned out from inadequate staffing on covid units. Emotional strain from not taking care of their own health and having to stay home to care for their own children are some other reasons there are shortages currently.

Nursing schools have lower enrollment, and these same schools have had a hard time getting hospitals and other health care facilities to agree to train students as they see them as a liability. These facilities should be using these schools not only to train the students but also to help relieve the strain on nursing staff across the board. To avoid a nursing shortage, we should be looking at our student nurse shortage and focusing our efforts and creativity there.

The American Association of Colleges of Nursing (AACN) has developed a fact sheet to portray what is going on in the next eight years with the shortage. They expect the problem will only get worse as baby boomers age and as more nurses retire. According to the Bureau of Labor Statistics, we will have about 3.3 million nurses by 2029 but will need 4.5 million to face this issue (American Association of Colleges of Nursing, n.d.).

Some things that might help to reduce the shortage would be to reduce the workload for nurses, increasing job satisfaction, and possibly retaining them longer. This could be done with nursing students—better support for older nurses, especially seeing them as a value to train the younger ones. Increased recruitment for nursing schools, not only for more students but for more nurse educators to continue to train them—many state-wide initiatives are getting money to start programs to increase enrollment of students and train educators who will then stay in the state for a period of time. This is not an easy problem to fix but one that I think we can make great strides toward.

 

References

American Association of Colleges of Nursing. (n.d.). Aacn fact sheet – nursing shortage. https://www.aacnnursing.org/News-Information/Fact-Sheets/Nursing-Shortage

 

Bowden, V. R. (2021). Predictable Consequences — How Do We Avert a Pediatric Nurse

            Shortage? Pediatric Nursing, 47(1), 5–10.


Critical Analysis Article Healthcare management

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Please find a current (within the last 6 months) article  on leadership and management as it applies to a healthcare setting.  The article needs to be from a respected journal or other respected health care publication such as Modern Healthcare, etc.  You may also use articles found in respected business publications such as The Wall Street Journal, Forbes, etc.  The final report will be in the student’s own words. 

Analysis should be 500 words. 

Your critical analysis is NOT a summary of the article.  Your paper should have an introductory paragraph, 2 or more paragraphs in the body, and a conclusion.  In the first paragraph, include a thesis statement, which is usually the last sentence of the introductory paragraph; underline your thesis statement.   In your thesis, and in the paper, tell me if you agree or disagree with what the author is stating.  What is your opinion of what the author states?  Would you make any different suggestions or recommendations?  

The report should be typed, double-spaced, 1 inch margins, 12 point font maximum, and include the proper citation of the article. .    Remember to properly document the reference resources used to write this paper.  APA format is required.  Include the web URL address if using an article from a Website.   If plagiarism is found, the paper will receive a grade of zero.

Week 4 – ISS

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Select one of the three topics defined in the Essay Quiz section on page 333 in the textbook. Your paper should be 2 pages in length. You need to provide a minimum of two references and need to use APA format in the reference section.

Certificate Classes

The types of certificates available can vary between different CAs, but usually at least three different types are available, and they are referred to as classes:

Class 1:  A Class 1 certificate is usually used to verify an individual’s identity through email. A person who receives a Class 1 certificate can use his public/private key pair to digitally sign e-mail and encrypt message contents.

Class 2: A Class 2 certificate can be used for software signing. A software vendor would register for this type of certificate so that it could digitally sign its software. This provides integrity for the software after it is developed and released, and it allows the receiver of the software to verify from where the software actually came.

Class 3:  A Class 3 certificate can be used by a company to set up its own CA, which will allow it to carry out its own identification verification and generate certificates internally.

  

Textbook: 

Principles of Computer Security, Conklin and White, 4th Edition, McGraw- Hill Companies, 2016; ISBN: 978-0-07-183597-8.