With all of the conversation and controversy surrounding healthcare structures and governance, healthcare leaders must articulate a thoughtful position regarding an optimal health care model based on sound research, best practices, and one’s philosophy of health care. The model must optimize the quality of care while also balancing financial requirements and organizational sustainability. In this assignment, you will articulate such a model.

The Executive Project requires each student to create a healthcare program centered on enhancing the quality and reducing the cost of care. You should prepare your executive project in a PowerPoint Presentation (ppt) format. Your ppt. should meet these requirements:

At least 12 slides in length, not including title, references, table of contents slides. The ideal ppt. Content slides length is between 12-16 slides.

Include detailed speaker notes of 100 words per content slide. Each content slide must have speaker notes. The speaker notes are used to ensure that the presentation is fully documented and self-explanatory.

You should utilize a minimum of 10 current and high-quality references; five (5) of them are from peer-reviewed articles. References should be published within five years.

To enhance your ppt’s relevance and content, you should include relevant images, visuals, tables/charts, etc.

Voice-over-Powerpoint (VoP) is not required but recommended.

The ppt. should be formatted to meet professional standards and expectations. The use of proper APA formatting and citations is required.

Ensure the entire project ppt., Content meets the UC’s academic integrity and writing policy. SafeAssign score should be less than 15%, not including the references slide.

The Executive Project should include:

Part I:

Goals, Objectives, Scope (organization type, type of services, employees, target market, etc.), Structure, Policy, procedure, etc.).You can choose any healthcare organization and topic as long as you have access to its data and information to help you create this project.

Part II:

Articulate a healthcare structure model and governance that optimizes healthcare quality while also balancing financial and operational requirements and the organization’s sustainability in the long run. Include the following in your model:

A brief statement of your philosophy of healthcare.

Articulation of an optimal model of healthcare structure and governance.

A brief rationale for the healthcare model is presented above. The rationale should describe how the model optimizes care quality and balances financial requirements and organizational sustainability.

Assess how best practices in delivering medical care in international healthcare systems can be benchmarked and adapted into the U.S. healthcare delivery system.

A proposal of how the healthcare model articulated above can be operationalized in a real-world setting

Ideas for an Executive Project include:

Leadership Development Program

Continuous Quality Improvement Program

Organizational Effectiveness Program

Physician Engagement Program

Clinical Innovative Program

Patient Satisfaction Program

Information Management Systems and Data Analytics Program

This assignment will be graded based on rubrics that integrate the following:

Organization and Formatting (20%).

PPT. Content Coverage (40%)

Speaker Notes (20%)

Grammar & APA Writing Style (20%)

This assignment is due on Day 3, Wednesday (April 20, 2022) of the final Learning Week. A late assignment will not be accepted or graded. So, plan to submit this assignment on time.

Utilize the SOAP guidelines to assist you in creating your SOAP note and building your plan of care. You are expected to develop a comprehensive SOAP note based on the given assessment, diagnosis, and advanced nursing interventions. If the information is not in the provided scenario please consider it normal for SOAP note purposes, if it is abnormal please utilize what you know about the disease process and write what you would expect in the subjective and objective areas of your note.
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Week 2: Respiratory Clinical Case Patient Setting: 65 year old Caucasian female that was discharged from the hospital 10 weeks ago after a motor vehicle accident presents to the clinic today. States she is having severe wheezing, shortness of breath and coughing at least once daily. She can barely get her words out without taking breaks to catch her breath and states she has taken albuterol once today. HPI Frequent asthma attacks for the past 2 months (more than 4 times per week average), serious MVA 10 weeks ago; post traumatic seizure 2 weeks after the accident; anticonvulsant phenytoin started – no seizure activity since initiation of therapy. PMH History of periodic asthma attacks since early 20s; mild congestive heart failure diagnosed 3 years ago; placed on sodium restrictive diet and hydrochlorothiazide; last year placed on enalapril due to worsening CHF; symptoms well controlled the last year. Past Surgical History None Family/Social History Family: Father died age 59 of kidney failure secondary to HTN; Mother died age 62 of CHF Social: Nonsmoker; no alcohol intake; caffeine use: 4 cups of coffee and 4 diet colas per day. Medication History Theophylline SR Capsules 300 mg PO BID Albuterol inhaler, PRN Phenytoin SR capsules 300 mg PO QHS HTCZ 50 mg PO BID Enalapril 5 mg PO BID Allergies NKDA ROS Positive for shortness of breath, coughing, wheezing and exercise intolerance. Denies headache, swelling in the extremities and seizures. Physical exam BP 171/94, HR 122, RR 31, T 96.7 F, Wt 145, Ht 5’ 3” VS after Albuterol breathing treatment – BP 134/79, HR 80, RR 18 Gen: Pale, well developed female appearing anxious. HEENT: PERRLA, oral cavity without lesions, TM without signs of inflammation, no nystagmus noted. Cardio: Regular rate and rhythm normal S1 and S2. Chest: Bilateral expiratory wheezes. Abd: soft, non-tender, non-distended, no masses. GU: Unremarkable. Rectal: Guaiac negative. EXT: +1 ankle edema, on right, no bruising, normal pulses. NEURO: A&O X3, cranial nerves intact. Laboratory and Diagnostic Testing Na – 134 K – 4.9 Cl – 100 BUN – 21 Cr – 1.2 Glu – 110 ALT – 24 AST – 27 Total Chol – 190 CBC – WNL Theophylline – 6.2 Phenytoin – 17 Chest Xray – Blunting of the right and left costophrenic angles Peak Flow – 75/min; after albuterol – 102/min FEV1 – 1.8 L; FVC 3.0 L, FEV1/FVC 60%

Health services continue to affect the gross domestic product, and this dramatic transformation has great demands on each dollar spent to deliver patient-centered products. Health care marketing must be repeatedly applied and practiced strategically to include environmental dimensions, such as technology, socioeconomics, competition, and regulatory.

In today’s global economy, investors and potential entrepreneurs must tap into the so-called “unexplored” market. In this aspect, health care establishments must use marketing, advertising, as well as sales strategies when pursuing new customers. For example, suppose a health care investor wanted to build a small hospital in a rural community—this would entail exploration and logistical experimentation to determine who will patronize the facility. In an impoverished neighborhood, the feasibility of having lucrative profits may see diminishing returns, and so the venture may be not worth the effort. Also, suppose that the potential investor wants to sell mosquito deterrents (such as bedside netting in malaria-infested regions of Asia or Africa). In that case, it would be wise to investigate the number of beds that are in the village, and who would be willing to purchase them. These activities consider the investor portfolio, as well as the feasibility of marketing and selling the product. Such exploration also examines competitors, cultural differences, and—most important—identification of the customer.

Using the health care organization you identified in the learning activity last week, determine its product development practices. Use the concepts from previous weeks to substantiate information, as needed. You may develop the discussion based on the ideas presented here, but feel free to inject any relevant marketing strategy that you believe might support your presentation.

Write a 3–4 page paper in which you:

1. Justify the purpose of the selected health care establishments’ product(s) / service (s) and their associated life cycle(s).
2. Suggest one strategy to improve the marketing mix of the selected health care establishment. Support your strategy by highlighting one benefit of portfolio analysis and providing two examples that display differential advantages.
3. Discuss the impact of possible economic decline on product-market expansion and how it can affect business planning based on global operating environment.
4. Assess the importance of technology in providing patients with clear and accessible information about health care organizations and the product(s)/service(s) that they provide.
5. Use 3–4 sources to support your writing. Choose sources that are credible, relevant, and appropriate. Cite each source listed on your source page at least one time within your assignment. For help with research, writing, and citation, access the library or review library guides.

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:

• Propose product development strategies for a health care organization that impact the marketing mix, the use of technology, and marketing research.

Scenario

After recently graduating with a Bachelor’s of Science (BSN) in Nursing, you were promoted to Clinical Educator for your unit. The Nurse Manager asked for your help completing an innovative practice analysis to assist the organization with determining future needs for technology to lead innovation and future service for the local community. The title for this renewed drive for innovation in practice excellence is named, “Time for the Future is Now.”

Organizational characteristics:

• 92 bed full-service, not-for-profit regional hospital
• 600 employees, 120 of which are active and consulting physicians
• The mission is simple: improve the health, lives, and well-being of the people in the community we serve.
• Philosophy: we service a rural community as if we were in a suburban setting.

Unique services currently offered include:

• A team approach to Cancer Care with an on-site multidisciplinary rounding clinical served by virtual assistants.
• On-site Adult Care with a focus on Adult Day Care and Overnight Respite (currently largest cost center).
• Genetics Counseling featuring a personalized approach to drug therapies provided via virtual visits by doctors, masters-prepared nurse genetic counselors and 24-hour access to the side-effect and drug effectiveness monitoring with a password protected laboratory portal.
• Virtual Primary Care offered from 7am-11pm with a fee of $25.00 per visit for routine health services.

Community Demographics:

• Rural setting current population approximately 30,000 with 97% Caucasian, 2% African American and 1% Hispanic
• 60.1% of residents are retired
• Average age = 64.2 years
• High prevalence of diabetes, heart disease, and chronic obstructive pulmonary disease
• 89% of residents own and live in their home, a single family residence.
• Average yearly income is $34,000.00.

Instructions

Listed below are two types of innovative healthcare services under consideration for purchase and integration in this organization. Complete an analysis of the two types of innovation under consideration for purchase. The primary objective is to select the innovation to serve the needs of the local community best.

• Virtual Sitter Service (currently contract with local employee agency to provide sitter services)
• Tele-Wound Consulting Service (currently contract with local home health agency to provide nurses certified in wound care)

Write your analysis report of the two innovations in a Word document, including the following:

• Recommendation of innovation as the first or second selection for purchase with a detailed explanation of the rationale for choice including:
• Include analysis of the two innovations with rationale of your priority choice
• Include one resource from literature supporting the choice
• Identify at least two immediate impacts on the organization and at least two immediate impacts on the community served from your priority choice.
• Cost, training, patient outcomes, employee satisfaction, patient satisfaction
• Support with credible resources
• Explain at least two projected impacts to organization and at least two projected impacts on the community served from your priority choice.
• Sustainability, maintenance, continued training, increased services for the community
• Support with credible resources

Module 03 Case Study – Assessment of Pregnant Client

Utilize the appropriate technology and/or references/resources, demonstrating accurate use, in order to access reliable data and information that support evidence-based practice in the care of diverse clients during pregnancy.

Differentiate the various components of basic physiological needs as it relates to pregnancy and health practices, including but not limited to associated concepts of.

Evaluate data and information gathered during client care, simulated scenarios, and/or case studies related to promoting nutritional health during pregnancy, nursing care strategies to address the common discomforts of pregnancy, essential components and standards of prenatal care, fetal growth and development stages in order to determine knowledge and wisdom gained through critical thought processes to optimize client outcomes and quality improvement.

Demonstrate a basic understanding of communication practices necessary for client-centered care and interdisciplinary collaboration in terms of knowledge, skills, and attitudes.

Competency

• Apply appropriate nursing care interventions for clients during pregnancy, labor, and birth.
• Scenario
• You are a registered nurse (RN) working in a Women’s OB/GYN Clinic. Elizabeth Jones, 37 years old, presents to the prenatal clinic after missing her last 2 menstrual cycles. Her home pregnancy test was positive. An ultrasound at the clinic confirms pregnancy. Gestational age is calculated to be 10 weeks. An initial assessment of Ms. Jones’s medical and obstetrical history is as follows.
• Obstetric/Gynecologic (OB/GYN) history: Uncomplicated spontaneous vaginal delivery at 39.2 weeks (3 years ago); Cesarean section x 1 at 37.5 weeks for non-reassuring fetal heart tones (1.5 years ago); abnormal Papanicolau (PAP) smear x2, + human papilloma virus (HPV), colposcopy within normal limits

Medical history: Chronic hypertension (HTN) x 5 years;

Allergies: Penicillin

Social history:

(+) tobacco, “occasional” per client (pt), <5 per/day currently, has smoked “off and on” for 15 years

(+) cocaine use, states she has not used any cocaine/drugs for > 1 year; (-) alcohol use

Abusive partner with first pregnancy, states she has a new partner x 4 years

Depression, currently not taking meds for treatment (tx)

Medications: Prenatal vitamins; Labetalol 200mg BID;

Family history: Insulin-dependent diabetes mellitus (mother); HTN and heart disease (father); breast cancer (maternal grandmother, deceased)

Instructions

Write an analysis of this scenario that answers the following questions:

What should the nurse consider related to caring for a client with a history of domestic abuse, drug use, sexually transmitted diseases and depression?

Document the considerations of yourself as the professional nurse in regards to self-awareness; be aware of attitudes, values and beliefs that you hold related to clients from different social backgrounds so that care is not affected negatively.

What conditions are in Mrs. Jones history that would cause concern during pregnancy, labor, and birth?

What concerns should be discussed with Ms. Jones before she leaves her appointment?