2023 Discussion Questions The Centers for Medicare and Medicaid and MACRA Legislation

2023 Nursing Reserved for Expert_Researcher

Discussion Questions The Centers for Medicare and Medicaid and MACRA Legislation 2023

Discussion Questions:

  • The Centers for Medicare and Medicaid and MACRA Legislation require provider transparency in quality and value care. As an Advanced Practice Nurse (APN) enrolled in the Medicare reimbursement program, you will be expected to demonstrate competent patient centered outcomes. Describe how you plan to utilize and implement evidence based practice protocols fround from the Agency for Health Research and Quality to ensure competent and safe care for yoru patients.
  • Review the Team STEPPS initative from the Agency for Health Research and Quality (AHRQ). Describe the specific objectives of this national initative and how you can implement this into your clinical setting as an APN to reduce patient errors and improve team work and communication.

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2023 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT BETWEEN 100 120 WORDS As

2023 Nursing comment audre DQ2

I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT BETWEEN 100 120 WORDS As 2023

 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 100-120 WORDS

As health care continues to evolve, technology will continue to grow and support the needs of patients. Health care technology improves the safety and care of patients, increases the efficiency of health care delivery, and facilitates clinical decision making (Healthy People 2020, n.d.). My EBP project of early mobility of ICU patients would include the use of the electronic medical record (EMR) as a way for nurses to assess and implement mobilization. In an article by Drotlet et al. (2013), a nurse-driven mobility protocol was used to assess patients within 72 hours of arrival to ICU. This protocol gave the nurses the ability to order physical therapy and increased the number of patients participating in early mobility (Drotlet, et al., 2013). The assessment tool would include contraindications and vital sign requirements needed for patients to participate in mobility exercises. If the assessment indicated the patient was eligible the nurse could then order physical therapy. While the protocol in nurse-driven, physical therapy still needs to be involved to ensure the safety of the patient. After the initial evaluation, nurses can continue with the mobility plan of care.

Unfortunately I will not be able to create an assessment tool to evaluate patient’s eligibility to participate in early mobility, but I will still use the EMR to gather data on patients that may be able to participate in mobilization. To add a document into Cerner, Banner’s EMR, would require submission to and approval of the clinical informatics group which takes months, if the change were to even be approved. 

References

Drotlet, A., Dejulio, P., Harkless, S., Hendricks, S., Kamin, E., Leddy, E., & Williams, S. (2013). Move to imporve: The feasibility of using an early mobility protocol to increase ambulation in the intensive and intermediate care settings. Physical Therapy, 197-207.

Healthy People 2020. (n.d.). Health communication and health information technology. Retrieved from Healthy People 2020:

https://www.healthypeople.gov/2020/topics-objectives/topic/health-communication-and-health-information-technology

 

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2023 A Grade Solution The first step of the EBP process is to develop a question from the

2023 Nursing The first step of the EBP process is to develop a question from the practice problem you drafted in Topic 1. Start with the patient and identify the clinical problems or issues that arise from clinical care. Consider the research and writing you completed

A Grade Solution The first step of the EBP process is to develop a question from the 2023

A+ Grade Solution

The first step of the EBP process is to develop a question from the practice problem you drafted in Topic 1. Start with the patient and identify the clinical problems or issues that arise from clinical care. Consider the research and writing you completed in Topics 1-4.

Following the PICOT format, write a PICOT statement in an area of interest to you, which is applicable to your proposed capstone project.

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

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

You are not required to submit this assignment to Turnitin.

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we successfully helped over 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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2023 Before I begin I would like to say thank you for this study although I am aware of

2023 Nursing 1-Wayne.Please comment on base to this answer (255 words)APA Format. Try to use link below other new barriers.

Before I begin I would like to say thank you for this study although I am aware of 2023

Before I begin I would like to say thank you for this study, although I am aware of the challenges that undocumented immigrants face, this article brings to light a whole different aspect of difficulties I did not consider. I am ashamed to admit that I have never thought about it from this perspective, much learned here. 

The relationship between fear and its affect on health is very apparent as outlined in this study. Although fear can do many things, to include being a motivator, in the case of undocumented immigrants identified in this study it is paralyzing and results in higher levels of stress. Stress in turn results in significant and cumulative influences on health and health disparities (Reference study here). The three main sources of fear and how it relates to health are:

Cost: The population identified in this study, due in large part to being undocumented, had a high rate of poverty, lower educational level, and high levels of transience. As expected this equates to an income level the precludes having health insurance in most cases. Fear experienced by these individuals was rooted not only in the cost that would be incurred from medical care, participants in the study also feared being identified by INS while being hunted down by bill collectors. Adding to the stress of healthcare cost, individuals were forced to choose between paying bills and buying food over paying for healthcare. Sadly, participants in this study looked at their diabetes and knew it would eventually kill them, just not today. 

Language Barriers, Discrimination, and Immigration Status: Participants in this study felt they were being discriminated against because many could not speak English, some recalled clinic/ER staff blatantly calling out and berating the participants for not speaking English and being in the country illegally. I find this particularly disgusting based on morality alone, medical professionals are charged with providing care to the needy, sick, and injured regardless of who they are. To further the participants stress level, communicating with physicians was difficult and often scary. Participants spoke of being made to feel guilty for needing an interpreter, and when they did have an interpreter, critical parts of the conversation were incorrect potentially causing serious medical issues with the patient. 

Cultural Disconnect: Participants described having difficulty speaking with medical staff about traditional remedies for the treatment of medical problems, some of the remedies (not all) were very effective in managing health issues with little side effects to the participants, including diabetes. Some individuals were embarrassed about what they had paid for the traditional medicine and that it ended up not working. Cultural disconnect made the participants fearful of what the provider might say about traditional remedies, negative feedback from the provider could potentially “spoil the normal identity of the patient” regarding his/her culture. (Page-Reeves, et al., 2011)

I absolutely agree structural violence perpetuates health disparity, this study is a prime example of that fact. Unfortunately, the scenario outlined in this study is not an isolated issue with regards to a particular class of people not having adequate medical care. Along with undocumented immigrants, the lower income, undereducated, and mentally impaired often go uninsured and only receive medical care in times of emergency.  

 http://medicine.yale.edu/news/article.aspx?id=15965

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we successfully helped over 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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