Community Health Care Organization- Organizational Internal and External Constraints
-SWS FORMAT
-ABOVE IS THE HEALTHCARE ORG. YOU CHOOSE IN WEEK 2. PLEASE REFER BACK IF NEEDED.
Using the HSO you identified in the Week 2 activity, use the Strayer Library and other reputable sources to locate publicly available financial information that will provide you with the answers to the five questions you developed in Week 2.
You will then write a three-page paper in which you include each of the following components:
Overview Community Health Care Organization Organizational Internal and External Constraints For the Week 2 activity, you selected a health services organization (HSO) and then developed five research questions to gain a better understanding of the financial condition of your chosen HSO; its budget preparation process; and fiscal planning strategies related to the financial management of the organization. For this assignment, you will provide thorough responses to each question and report your key findings. Instructions Using the HSO you identified in the Week 2 activity, use the Strayer Library and other reputable sources to locate publicly available financial information that will provide you with the answers to the five questions you developed in Week 2. You will then write a three-page paper in which you include each of the following components: • Develop an introduction to your chosen healthcare organization. • The name of the selected organization and background information, such as its location, size, focus, services provided, demographics of patients served, for-profit or nonprofit status, et cetera. • Indicate whether the organization has a separate finance or business department and, if so, who is responsible for the department. • Any other information that may help explain the chosen organization. For example, is it unique in how its finances are managed? If so, how? • Develop research-based answers to the five previously created questions. • A response to each of the five questions you created in Week 2. This should include specific information pertaining to the chosen healthcare organization's budget preparation process, fiscal planning strategies, and how the financial condition of the organization is routinely monitored and corrective actions are taken when necessary. • Assess any differences and similarities between what you have learned from the textbook, videos, and other readings with what you have learned in your research. • This is the section of the paper where you assess any differences between what you have learned in this course and what is reflected in your research. This is also an opportunity to identify connections between cost and quality and explore the interplay of performance improvement, regulatory compliance, provider relationships, and payors. Keep in mind that the background and context of the organization play a role in how these pieces fit together. This course requires the use of Strayer Writing Standards (SWS). The library is your home for SWS assistance, including citations and formatting. Please refer to the Library site for all support. Check with your professor for any additional instructions. Resources There are a few ways to access public information on health services organizations. • Google Operator Search: You can use symbols or specific words in your Google search to make results more precise. For healthcare organizations' finances: • If your chosen health services organization has a website of www.communityhospital.org, you would use the following search to look within their website for financials: • site:communityhospital.org "financial statements" • To narrow your search even further, you could add filetype: to the end of your search to look for specific files. For example, filetype: pdf. • EMMA: EMMA Links to an external site.
(Electronic Municipal Market Access) is a great resource for locating reports on large nonprofit hospitals. Simply use the "browse issuers" at the top, and then click on the state your hospital is located in. From there a populated list of bond issuers within the state appears. Many of them are just the city name, but it is easiest to put the word health in the "Search within this list:" box to narrow it down to bond issuers for hospitals. On the next page in the same search box, you can put the name of your hospital and you will select the most recent result. This will take you to a page with different tabs containing financial information. • EDGAR Report: All companies are required to fill out periodic EDGAR reports through the U.S. Securities and Exchange Commission. This applies to public, for-profit organizations. You can learn more about the reports, how to read them, and how to access them at the SEC's Filings & Forms Links to an external site.
• GuideStar: GuideStar Links to an external site.
offers a way to look for finances from nonprofit healthcare organizations. The specific learning outcome associated with this assignment is: • Assess the relationship among healthcare costs, quality, performance improvement, regulatory compliance, provider relationships, and payors.
- Read the case study listed below.
- Refer to the rubric for grading requirements.
- Utilizing the Week 3 Case Study TemplateLinks to an external site., provide your responses to the case study questions listed below.
- You must use at least one scholarly reference to provide pathophysiology statements. For this class, use of the textbook for pathophysiology statements is acceptable. You may also use an appropriate evidence-based journal.
- You must use the current Clinical Practice Guideline (CPG) for the management and prevention of COPD (GOLD Criteria) to answer the classification of severity and treatment recommendation questions. The most current guideline may be found at the following web address: https://goldcopd.org/Links to an external site.. At the website, locate the current year’s CPG and download a personal copy for use. You may also use a medication administration reference such as Epocrates to provide medication names.
- Proper APA format (in-text citations, reference page, spelling, English language, and grammar)
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Week 3 Case Study Template
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Pathophysiology & Clinical Findings of the Disease
1. Are the spirometry results consistent with obstructive or restrictive pulmonary disease? What is the most likely pulmonary diagnosis for this patient?
2. Explain the pathophysiology associated with the chosen pulmonary disease.
3. Identify at least three subjective findings from the case which support the chosen diagnosis.
4. Identify at least three objective findings from the case which support the chosen diagnosis
Management of the Disease
*Utilize the required Clinical Practice Guideline (CPG) to support your treatment recommendations.
1. Classify the patient’s disease severity. Is this considered stable or unstable?
2. Identify two (2) “Evidence A” recommended medication classes for the treatment of this condition and provide an example (drug name) for each.
3. Describe the mechanism of action for each of the medication classes identified above.
4. Identify two (2) “ Evidence A” recommended non-pharmacological treatment options for this patient.
References
[Must be on a separate page and in APA format]
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This assignment is worth 100 points.
Preparing the Assignment
Requirements
Content Criteria:
1. Read the case study listed below.
2. Refer to the rubric for grading requirements.
3. Utilizing the Week 3 Case Study TemplateLinks to an external site. , provide your responses to the case study questions listed below.
4. You must use at least one scholarly reference to provide pathophysiology statements. For this class, use of the textbook for pathophysiology statements is acceptable. You may also use an appropriate evidence-based journal.
5. You must use the current Clinical Practice Guideline (CPG) for the management and prevention of COPD (GOLD Criteria) to answer the classification of severity and treatment recommendation questions. The most current guideline may be found at the following web address: https://goldcopd.org/Links to an external site. . At the website, locate the current year’s CPG and download a personal copy for use. You may also use a medication administration reference such as Epocrates to provide medication names.
6. Proper APA format (in-text citations, reference page, spelling, English language, and grammar) must be used.
Case Study Scenario
Chief Complaint A.C., is a 61-year old male with complaints of shortness of breath.
History of Present Illness
A.C. was seen in the emergency room 1 week ago for an acute onset of mid-sternal chest pain. The event was preceded with complaints of fatigue and increasing dyspnea for 3 months, for which he did not seek care. He was evaluated by cardiology and underwent a successful and uneventful angioplasty prior to discharge. Despite the intervention, the shortness of breath has not improved. Since starting cardiac rehabilitation, he feels that his breathlessness is worse. The cardiologist has requested that you, his primary care provider, evaluate him for further work-up. Prior to today, his last visit with your practice was 3 years ago when he was seen for acute bronchitis and smoking cessation counseling.
Past Medical History
· Hypertension
· Hyperlipidemia
· Atherosclerotic coronary artery disease
· Smoker
Family History
· Father deceased of acute coronary syndrome at age 65
· Mother deceased of breast cancer at age 58.
· One sister, alive, who is a 5 year breast cancer survivor.
· One son and one daughter with no significant medical history.
Social History
· 35 pack-year smoking history; he has cut down to one cigarette at bedtime following his cardiac intervention.
· Denies alcohol or recreational drug use
Real estate agent
Allergies
· No Known Drug Allergies
Medications
· Rosuvastatin 20 mg once daily by mouth
· Carvedilol 25 mg twice daily by mouth
· Hydrochlorothiazide 12.5 mg once daily by mouth
· Aspirin 81mg daily by mouth
Review of Systems
· Constitutional: Denies fever, chills or weight loss. + Fatigue.
· HEENT: Denies nasal congestion, rhinorrhea or sore throat.
· Chest: + dyspnea with exertion. Denies productive cough or wheezing. + Dry, nonproductive cough in the AM.
· Heart: Denies chest pain, chest pressure or palpitations.
· Lymph: Denies lymph node swelling.
General Physical Exam
· Constitutional: Alert and oriented male in no apparent distress.
· Vital Signs: BP-120/84, T-97.9 F, P-62, RR-22, SaO2: 93%
· Wt. 180 lbs., Ht. 5'9"
HEENT
· Eyes: Pupils equal, round and reactive to light and accommodation, normal conjunctiva.
· Ears: Tympanic membranes intact.
· Nose: Bilateral nasal turbinates without redness or swelling. Nares patent.
· Mouth: Oropharynx clear. No mouth lesions. Dentures well-fitting. Oral mucous membranes dry.
Neck/Lymph Nodes
· Neck supple without JVD.
· No lymphadenopathy, masses or carotid bruits.
Lungs
· Bilateral breath sounds clear throughout lung fields. + Bilaterally wheezes noted with forced exhalation along with a prolonged expiratory phase. No intercostal retractions.
Heart
· S1 and S2 regular rate and rhythm, no rubs or murmurs.
Integumentary System
· Skin cool, pale and dry. Nail beds pink without clubbing.
Chest X-Ray
· Lungs are hyper-inflated bilaterally with a flattened diaphragm. No effusions or infiltrates.
Spirometry
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Title
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Predicted
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Pre-bronchodilator
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% Predicted
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Post-bronchodilator
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% Predicted
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Change
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FVC (L)
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5.64
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5.23
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93
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5.77
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102
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9%
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FEV1 (L)
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4.57
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2.92
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64
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3.01
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66
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2%
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FEV1/FVC (%)
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81
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56
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69
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52
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64
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-5%
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TLC
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5.5
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6.9
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125
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6.9
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125
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0%
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Case Study Questions
Pathophysiology & Clinical Findings of the Disease
1. Are the spirometry results consistent with obstructive or restrictive pulmonary disease? What is the most likely pulmonary diagnosis for this patient?
2. Explain the pathophysiology associated with the chosen pulmonary disease.
3. Identify at least three subjective findings from the case which support the chosen diagnosis.
4. Identify at least three objective findings from the case which support the chosen diagnosis.
Management of the Disease
*Utilize the required Clinical Practice Guideline (CPG) to support your treatment recommendations.
1. Classify the patient's disease severity. Is this considered stable or unstable?
2. Identify two (2) "Evidence A" recommended medication classes for the treatment of this condition and provide an example (drug name) for each.
3. Describe the mechanism of action for each of the medication classes identified above.
4. Identify two (2) "Evidence A" recommended non-pharmacological treatment options for this patient.
Week 3 Respiratory Case Study
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Week 3 Respiratory Case Study
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Criteria
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Ratings
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Pts
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This criterion is linked to a Learning OutcomePathophysiology & Clinical Findings of the Disease
The student: – Identifies the correct spirometry pattern and likely diagnosis. – Explains the pathophysiology associated with the chosen disorder. – Supports the pathophysiology statement with at least one appropriate, scholarly reference (textbook is acceptable for pathophysiology statements only). – Identifies at least three subjective findings from the case. – Identifies at least three objective findings from the case. (5 Required Elements)
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45 pts
All 5 required elements are present.
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41 pts
1 required element is missing.
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37 pts
2 required elements are missing
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23 pts
3-4 required elements are missing.
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0 pts
All 5 required elements are missing.
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45 pts
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This criterion is linked to a Learning OutcomeManagement of the Disease
The student: – Utilizes the required Clinical Practice Guideline (CPG) to support the chosen treatment recommendations. – Correctly classifies the disease severity and states whether or not the disease is stable or unstable. – Identifies two (2) “Evidence A” recommended medication classes for the treatment of the condition and provides an example (drug name) for each. – Identifies two (2) “Evidence A” recommended non-pharmacological treatment options for the condition. (4 Required Elements)
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45 pts
All 4 elements are present
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41 pts
1 required element is missing
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37 pts
2 required elements are missing
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23 pts
3 required elements are missing
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0 pts
All 4 required elements are missing
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45 pts
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This criterion is linked to a Learning OutcomeOrganization, spelling, grammar & APA format
The student: Uses the week 3 case study template for case study responses. Provides correct in-text citations for responses which match the reference page. Has minimal spelling, grammar & APA format errors.
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10 pts
Case study template is used for responses AND In-text citations are correct which match the reference page AND There are 0-2 errors in spelling, grammar or APA format.
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9 pts
Case study template is used for responses AND In-text citations are correct which match the reference page AND There are 3-5 errors in spelling, grammar or APA format.
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8 pts
Case study template is used for responses AND In-text citations are correct which match the reference page AND There are 6-8 errors in spelling, grammar or APA format.
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5 pts
Case study template is not used for responses OR In-text citations are incorrect or do not match the reference page AND There are 0-5 errors in spelling, grammar or APA format.
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0 pts
Case study template is not used for responses AND/OR In-text citations are incorrect or do not match the reference page AND There are 6 or more errors in spelling, grammar or APA format.
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10 pts
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