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Geneva Guadalupe is a new manager on the busiest medical and surgical unit in a tertiary hospital. There are 39 beds on 9 Tower, which has a high volume of diabetes patients. She is excited to improve the quality and outcomes on this unit. During her interview, she learned that under the previous leadership the quality was deteriorating, as reflected in Hospital Consumer Assessment of Healthcare Providers and Systems (HCHAPS) scores and absenteeism and turnover rates. It was costing the unit between $42,000 to $65,000 to replace a nurse.

While making rounds, Nurse Guadalupe observed complaints about missed nursing care from all shifts and decided to make staff accountable for ensuring that patient care is completed. She asked a CNL to monitor the types of patient care activities that were being omitted. After 1 week, the CNL stated that it was difficult to make that determination because everyone had a different opinion on which interventions were being omitted. Additionally, staffing was an issue. The manager’s initial response was, “What’s wrong with staffing? Why would you blame staffing for omitting patient care?”

In your own words:

1. What is your first approach to showing a link between missed nursing care and staffing?

2. What questions could you pose to frontline nurses to understand how their staffing experience related to missed care?

3. Whom will you engage institutionally to understand the issue fully? Why them?

4. Which data elements may be required to build a case for staffing and missed nursing care?

5. What ideas would you propose to the administration to reverse the financial effects and improve HCHAPS scores?

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 Assignment Module 5 Cost/Benefit Analysis 10 points possible

Consider the case on page 270 of the Harmening textbook regarding the hospital administrator’s
request for lab services to support parathyroid surgeries which would require offering intact PTH testing
on two days/ week. Costs of the analyzer, reagent test kits, number of controls required and
reimbursement revenues are described. In addition, consider that 4 tests are run monthly for the
calibrators. You are will be asked to consider if the test can be offered in-house by performing some
calculations and explaining factors involved in the decision making by answering the following questions.

1. How did the actual cost per test be determined for reagent alone? Show the calculation:

2. How many tests in the kit are going for non-billable tests (these are tests you run that are not
patient samples)? 

3. Considering the total reagent cost over 8 weeks, and the number of patient reportable tests,
the number of non-patient reportable tests, what is the likely cost of wasted reagent?

4. What are other expenses that should be considered in calculating cost per test? Include specific
examples.

3 pts if complete with examples; 2 points if both categories and few examples; 1 point if one
category or no examples; 0 point if nothing correct.

5. Considering the reimbursement revenue discuss your initial thoughts on cost/benefit for
offering the intact PTH test STAT for in-house surgery.
2 points if logical defended point; 1 point if partially clear point made

6. What additional ideas could be explored and provided to the hospital administrator that may
make this more favorable?
2 points if logical defended point; 1 point if partially clear or not fully defendable. 

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Purpose

The purpose of the discussion questions is to provide a clear and specific topic for discussion, to encourage meaningful and productive conversation, and to facilitate the exchange of ideas and perspectives among participants.

Objectives

Through this discussion, you will be able to…

1. Explain current research regarding human resource development and management.
2. Identify emerging strategic human resource issues and challenges such as social accountability, artificial intelligence (AI), crisis management, and the gig economy.
3. Evaluate an organization’s compliance with human resources laws and regulations.

Discussion Question

Please answer the following questions:

1. How can an organization design a compensation system that aligns with its performance management system, and what are some benefits of doing so?
2. Discuss the role of executive pay in today’s society. What are some common criticisms of executive compensation, and how can organizations balance the need to attract top talent with concerns about fairness and equity?
3. What are some of the key legal considerations organizations need to consider when designing their compensation systems? How can an organization ensure its compensation practices are legally compliant while being competitive and fair?
4. Share examples of compensation and benefits packages that have successfully retained top talent within your industry or organization. What made these packages effective, and how can other organizations learn from them?
5. Discuss the impact of compensation on employee motivation and engagement. What are some of the factors that can influence the relationship between compensation and employee performance, and how can organizations use compensation as a tool to drive employee engagement and productivity?

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You  will be creating a PowerPoint Slide deck (no narration required)  consisting of five slides – a title slide and an informational slide for  each of the following industry segments – Foodservice/Restaurant,  Lodging/Hotel, Travel/Tourism, and Event Planning.

The title slide should include at minimum your name, the title of the assignment, and the due date.

For each of the industry segment slides, the content required is as follows:

• Include the industry segment as a title on the slide
• Identify an industry association that advocates for that particular industry – list the name of the industry association
• Find  the “advocacy”, “issues”, or “data” page for that particular  association – it may or may not be called by one of those names. Post a  link to that page.
• Identify  and briefly summarize ONE issue or statistical information the  association is highlighting on that page. Explain why that issue is  important to the industry and why it could impact society beyond just  that industry. 3 to 5 sentences is enough.

The  goal is to ensure you are familiar with industry associations, how they  advocate for and provide important industry statistics for their  membership. Be sure the link you are providing leads to the issue you  are highlighting.

Keep  in mind that while you are not presenting with narration, you should  design your slides with visual appeal in mind. These will be “wordier”  than slides in an actual presentation would be, but they should be  designed to be balanced and have a professional appearance.

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PROBLEM STATEMENT

The problem statement is a specific description about the nature of a problem; it also provides the rationale for why a particular problem was chosen. A well-constructed problem statement will narrowly define the topic so that research can stay focused on the defined problem and not stray to related tangents. The problem statement will anchor the rest of your work on the Capstone Project. For this Assignment, you will examine your research problem and write a statement describing the problem you selected.

RESOURCES

RESOURCES/REFERENCES  

• Problem Statement Description and ExamplesDownload Problem Statement Description and Examples
• Walden University Library. (n.d.-a). Database search skills: IntroductionLinks to an external site.. Retrieved November 21, 2019, from https://academicguides.waldenu.edu/library/databasesearchskillsBe sure to review the Learning Resources before completing this activity Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To prepare:

• Review the Learning Resources.
• Narrow the topic to a specific problem that can be researched in the scholarly literature.
• Search the Walden University Library and/or the Internet for at least 2 peer-reviewed sources to support your topic selection and problem.

Assignment (1–2 pages, not including title page and reference page) 

• Write a problem statement for the topic you have selected for your Capstone Project.
• The problem statement must be supported by information cited from at least 2 peer-reviewed resources.

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: Describe theories that human service organizations may have used in their design and implementation of a human service program.

People are generally familiar with the range of human service organizations that form their community’s “safety net”. Some organizations in the community network provide assistance to families and children, others may help people who are homeless or who have disabilities of some kind. People also have a general notion of how these organizations are organized, e.g., staffing, services, funding.

This first assignment asks you to use management theories reviewed in the readings as a “lens” with which to describe a human service organization in your community.

1. Select an HSO in your community you are familiar with either as an employed staff member or as a client of the organization or simply a member of the community. Conduct an online search of the organization and describe the organization in terms of the community need it seeks to address, the population served, the program services it offers.
2. Using the text and suggested readings, discuss the various theories the organization would use to design and implement program services. Since every program has multiple dimensions, your response should include theories for those multiple dimensions, e.g., the internal and external dimensions of an organization. For reference, use the competing values framework to outline your discussion.
3. Describe the leadership theories that might characterize the leadership of the HSO to provide services

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QSEN stands for Quality and Safety Education for Nurses and it’s been around a while.  Having current training in quality and safety in nursing is critical to your competence as an RN.  

Apply what you learned to an excellent case in the Lewis Blackman Story. 

 View the videos below:

YouTube: QSEN Institute: Lewis Black Story Parts 1, 2, 4 and 5. (Video links below)

Post must be a minimum of 200-400 words. 

1. What did you learn about patient safety and professional nursing practice from completing the modules and watching the Lewis Blackman Story?

2. How do you see yourself applying the QSEN knowledge in your own professional practice?

3. What experience do you have from practicing as an RN in preventing harm and keeping your patients safe by going the extra mile at work?

4. What safety measures do you use in your personal practice to prevent errors?

Approved Resources to Use in Writing Discussion Posts:

• The course textbook

Grove, S., Gray, J.  (2019). Understanding Nursing Research,  7th Edition. [[VitalSource Bookshelf version]].  Retrieved from vbk://9780323532051

• any published peer-reviewed full-text article from the CINAHL database  
• .org, or .gov website with published credible information. 
• The use of AI is not permitted in this DQ.
• All sources must be published within the last 5 years.
• The initial DQ response must include the course textbook.

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Overview

At this point, you have learned that earned value management (EVM) is best when all the project requirements are known and the planning is done, and it works well for a Waterfall approach. However, many organizations now use an Agile or Hybrid approach. In these approaches, planning is not done upfront for all requirements of the project, but there is a project scope, budget, and deadline for all projects. Therefore, EVM should be used. 

Directions

Utilizing the reading from the course text and two additional scholarly references, write a short paper on how you would apply EVM to Agile and Hybrid projects.

Specifically, you must address the following rubric criteria:

1. Describe why it is important to integrate EVM in Agile or Hybrid projects.
2. Identify what elements of EVM are already present in Agile or Hybrid projects.
3. Identify what key components are needed to utilize EVM in an Agile or Hybrid project.
4. Explain what measurement method you would use for project status and where you would find this in Agile or Hybrid projects.

What to Submit

Submit your short paper using the QSO 420 Short Paper Template as a 3- to 5-page Microsoft Word document with double spacing, 12-point Times New Roman font, and one-inch margins. Sources should be cited according to APA style.

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Students will choose from one of the predetermined topics for this assignment.  Using the literature, national/international organizations, and .org/.gov websites, students will draft the WHITE ASSIGNMENT including a problem statement, proposed solution, and a relevant Change Model to assist with implementation. The problem should be explained in detail using the literature.  The proposed solution should also be described in detail as a rationale for implementation.  Given that change can be difficult, students will then explain the change model they have selected from the list and provide information on how it will facilitate the implementation of the proposed solution.  Assignment should be APA formatted & 5-7 pages long, excluding title and references. Turnitin must be under 35% compatibility.

Grading Rubric for Leadership White Paper

Nursing Problem – explain the scope of the problem broadly (15), use literature to provide relevant statistics, facts, and overall impact of the issue (15).

30 points

Proposed Solution – explain the proposed solution in detail (20).  Is the proposed solution evidence-based?  Provide a few examples from the literature detailing how the solution has been successfully integrated (20).

40 points

Change Model – explain the proposed change model in detail (10), then tell the reader how the model will be used to assist with buy-in and implementation (10).

20 points

APA formatting, grammar, punctuation, flow

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• The feedback allows you to gain an understanding of your work and areas for development. If you do not read and process your feedback, your writing will not improve.
• It is important to note that even if gave you an “A” on your submitted draft, you must review the comments. An “A” on that activity indicates you completed the activity, not that your work is ready to submit for final grading.
• The important feedback is found in the document and comments. Instructions for finding feedback are below.

Complete

• Turn in work 1: The Narrative work for Final Grade – due Monday
   

Instructions:

Post your final draft of the Narrative work to this area. 

This work is the first of three assessments (major work) in the course. 

This copy of the Narrative work will be graded. For detailed grading criteria, see the Narrative work Rubric. 

Use the instructions above and write a complete narrative work of 2-3 works excluding the work cited page MLA format I need within 24 hours. use the topic  I believe in loving myself.

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