Overview

Physician practices are a key component of the U.S. health care system. As a future health care administrator, it is important for you to demonstrate an understanding of the challenges and opportunities that today’s physicians face in providing quality health care services.

Scenario

You are a newly licensed physician and have been hired to lead a small group practice. This is a new role for you, and you have decided to do some research and develop an operations plan to guide you in managing the practice and leading the staff.

Instructions

Part 1:

Develop Part 1 of 4 for an operations plan, Parts 2–4 will be completed in Weeks 6, 8, and 10 assignments. Part 1 of the operations plan should be 3–4 pages and include at least three quality academic resources in which you:

• Assess a minimum of two organizational forms in a medical group practice and summarize your findings.
• Select the organizational form will you use for this practice and justify your selection.
• Explain how you will transition from the existing practice form to the form you have selected.
• Develop three organizational goals as the new leader of the practice include constraints you may experience working towards those goals.
• Explain the role human resources management (HRM) will play in the physician practice, including attracting employees, employee retention, labor and employment laws, and compensation plans.
• Examine the role nursing will have in the restructuring of the practice.
• Develop a marketing strategy that includes three aspects of consumer behavior that should be considered and support your response.

Note: Include a cover page and reference page as required in the SWS Writing Standards.

Note: Incorporate the instructor feedback once you receive it to improve Part 1 of your operations plan, to be used in the Week 9 activity and Week 10 assignment.

This course requires the use of Strayer Writing Standards. For assistance and information, please refer to the Strayer Writing Standards link in the left-hand menu of your course. Check with your professor for any additional instructions.

The specific course learning outcome associated with this assignment is:

• Determine an organizational form, physician and physician practice competencies, HRM functions, and marketing strategies a group practice must assume to ensure the practice’s long-term success.

Case 1Case 2 Cases

C.C is a nurse practitioner working in a small private high school. She provides comprehensive care to the students and staff at the school. She coordinates the health education program of the school and consults with the administration to identify the educational and health promotion needs of the population.

She works in a Catholic high school. She meets resistance about providing health education about some of the topics typically taught to the adolescent age group. Substance abuse prevention; HIV, AIDS, and sexually transmitted disease prevention; and pregnancy prevention are topics that are highly controversial at her school. However, C.C. realizes that it is imperative that she reach the teens about these difficult topics.

E.J. is a nurse in an elementary school setting. Health promotion at the school-age level is a critical time when behaviors can be influenced before unhealthful patterns have become the standard. Healthy behaviors are taught and modeled by the nurse as well as the teachers in the school.

She has a diverse set of roles. She provides direct care to ill or injured students when needed. She also coordinates vision and hearing screenings, tracks immunization compliance, provides referrals, and participates in the care and planning of special needs students. She is aware that she has high rates of students with asthma and allergies, so she monitors the air quality index in her community.

Questions for the case

Discuss the recommended schedule of health-promotion and preventive health visits for adolescents and the appropriate topics for inclusion during each visit.

The prevention of overweight and obesity is critically important during the school-age years. Which educational interventions as a Nurse practitioner you should give to your school-age patients?

Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case:

1. Discuss appropriate interventions for adolescents suspected of having an eating disorder. Describe how they would initiate conversations with adolescents about this issue.
2. Describe the physical changes of adolescents that include natural processes of biology and genetics
3. Discuss the prevalence of violence among adolescents. Identify ways that health care practitioners can help prevent and educate adolescents about these issues.

Paper-part 1

Chapter 6 discusses various general intervention models applicable to social work practice. From a clinical perspective, use one of the disorders covered within your Assessment & Psychopathology course (depression, anxiety, autism, OCD, schizophrenia, borderline, bipolar, etc.) and research an intervention method associated with that disorder and write a paper in APA format (7th edition, student paper) that covers the following information. Headers should denote the different sections covered within the paper.

1) Title & reference page (no abstract) is required using a minimum of 3 scholarly articles that have used the intervention as part of their research. APA 7th edition/Student Paper/grammar/sentence structure – 5 points

• Articles must be no older than 8 years
• Articles must come from reputable journals and contain empirically supported research
• Students may use the Troy Library or Google Scholar to search for articles
• Students are not allowed to use a website
• Troy Library link where students can also have live chats with librarians https://my.troy.edu/libraries/ 

2) Explain the intervention and how it is used for the diagnosis identified – 10 points

3) Identify the general strengths and limitations of the intervention as well as those from a cultural perspective – 10 points

4) Identify any potential ethical concerns regarding the use of the intervention – 5 points

This paper should be at least 2 pages in length! 

Part 2

Simplified, Cognitive Distortions are faulty thinking patterns typically exhibited by those with a mental illness. Talking through these can sometimes help clients identify and reframe the thinking patterns that are causing, or exacerbating their symptoms and/or diagnosis. For example, those with anxiety sometimes fixate on the “What ifs” of situations. At a certain point, they may struggle to see the difference between their irrational thinking and reality. The first step in helping a client move beyond Cognitive Distortions is to be able to spot them yourself!

1) Take a look at some of these common Cognitive Distortions. 

2) Choose one of the listed Cognitive Distortions to post the following:

• Name the Cognitive Distortion you chose. 
• Tell us why you chose this one.
• Talk about how this might present in a client (how would you recognize this when speaking to your client). 

Evaluate the Health History and Medical Information for Mr. C., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

1. Height: 68 inches; weight 134.5 kg
2. BP: 172/98, HR 88, RR 26
3. 3+ pitting edema bilateral feet and ankles
4. Fasting blood glucose: 146 mg/dL
5. Total cholesterol: 250 mg/dL
6. Triglycerides: 312 mg/dL
7. HDL: 30 mg/dL
8. Serum creatinine 1.8 mg/dL
9. BUN 32 mg/dl

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

1. Describe the clinical manifestations present in Mr. C.
2. Describe the potential health risks for obesity that are of concern      for Mr. C. Discuss whether bariatric surgery is an appropriate      intervention.
3. Assess each of Mr. C.’s functional health patterns using the      information given. Discuss at least five actual or potential problems can      you identify from the functional health patterns and provide the rationale      for each. (Functional health patterns include health-perception,      health-management, nutritional, metabolic, elimination, activity-exercise,      sleep-rest, cognitive-perceptual, self-perception/self-concept,      role-relationship, sexuality/reproductive, coping-stress tolerance.)
4. Explain the staging of end-stage renal disease (ESRD) and contributing      factors to consider.
5. Consider ESRD prevention and health promotion opportunities.      Describe what type of patient education should be provided to Mr. C. for      prevention of future events, health restoration, and avoidance of      deterioration of renal status.
6. Explain the type of resources available for ESRD patients for      nonacute care and the type of multidisciplinary approach that would be      beneficial for these patients. Consider aspects such as devices,      transportation, living conditions, return-to-employment issues.

Re: Week 4 Discussion Forum  Kelvar is a. high modulus papa-aramid synthetic fiber. Its manmade, organic fiber is one is considered one of the heavievest in the aromatic polyamide family. Its unique properties and chemicals distinguishes it from the other manmade fibers. It has a combination of high strength, high modulus, toughness, and thermal stability. Kelvar was developed for demanding industrial and advanced-technology applications. It was first made in 1965 by two scientists: Stephanie Kwolek and Kerbert Blades, working for the DuPont company. The production of kelvar is expensive due to the difficulties from using concentrated sulphric acid needed to keep the water-insoluable polymer in solution during synthesis. There are different grades of kelvar available: K-29, K49, K100, K119, K129, Kelvar KM2, and Kelvar AP. The ultraviolet component of sunlight degrades and decomposes Kelvar so it is rarely used outside without protection.         Kabir, E. R. B., & Ferdous, E. N. (n.d.). Kevlar-the super tough fiber. International Journal of Textile Science. Retrieved April 19, 2

Kevlar is an aramid fiber, which means the molecules are arranged in long, strongly ordered chains. To take advantage of these unique qualities, the fibers can be spun or woven into mats or fabrics. Kevlar is created by combining an amine (1, 4-phenylene-diamine) with an acid chloride in a condensation process (terephthaloyl chloride). Kevlar chains are relatively rigid, and they tend to form primarily planar sheets, much like silk sheets. When Kevlar is spun, the chains bind together via H-bonds to form a tensile-strengthening sheet. The sheets also stack drastically, like spokes on a wheel, allowing for more interactions between the face-to-face aromatic groups on neighboring sheets, which helps to boost the overall fiber strength.    Kevlar has a wide range of uses, from bicycle tires to racing sails to bulletproof vests, because to its high tensile strength-to-weight ratio; it is five times stronger than steel in this regard. It’s also utilized to create modern marching drumheads that can endure a lot of punishment. Mooring lines and other underwater uses are also made with it.        Source: https://openstax.org/books/chemistry-2e/pages/20-4…