Tools and Resources for Health Care Leaders

What tools and resources are available to health care leaders to help guide their efforts toward sustainable operations?

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Breach vs Policies

Pick a breach from the list provided and then explain in a 1,200- to 1,500-word report where the policy failed and/or where management failed to implement the policy. Make sure to address the following: What portion of the policy first allowed the Kill Chain to be effective? How can the implementation of policies be strengthened so a breach is not repeated? Were laws broken when the policy was not followed or even developed? What were the financial costs that occurred for the company? In the Bible, the story of David killing Goliath (1 Samuel 17:4) shows that Goliath has advanced bronze armor, but this armor is futile against a stone and sling. This gives us a lesson that our trust in technology to save us is not always warranted. Examine the application of the Christian worldview within the context of a security breach and how it can be prevented. Data Breaches Yahoo. Date: 2013-14. Adult Friend Finder. Date: October 2016. eBay. Date: May 2014. Equifax. Date: July 29, 2017. … Heartland Payment Systems. Date: March 2008. Target Stores. Date: December 2013. TJX Companies, Inc. Date: December 2006. JP Morgan Chase. Date: July 2014.

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Employee Development and Pay Equity

What are the key cultural differences between the United States and China? In that Oder country, how effective do you think each of the following practices will be and why?

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PACS Administration

You are a new manager that has just completed your department’s transition from a film system to a PACS. The majority of the staff has made the transition smoothly; however, there are several that just can’t get the new procedures and techniques correct. You also have several staff members that excel in the new environment. All of the department staff (technical and clerical) received need-to-know education from the vendor, and this education is documented. Three to four months after the transition, your PACS Administrator comes to you with a problem. One of your stellar employees, a clerk named Karen, has some unusual activity in the Audit Log and the RIS. Karen has worked in the department for ten years. She often catches other employee’s mistakes and brings them to your attention. She runs reports from the RIS that shows her completed work and her accomplishments. You have only known her for less than one year, but she presents herself as a competent employee and a leader within the clerical department. One of her main job duties is to ensure all exams are dictated in a timely fashion. If an exam is not done and wasn’t cancelled, she was to place the cancellation paperwork in the RIS to remove it from the list of pending exams. Because of the unusual activity in the Audit Log and the RIS, an audit was performed. It showed that Karen has cancelled several exams in the RIS for exams that have images in PACS. The reason she placed in the medical record for the cancellation was “No images” or “Exam not found.” The manager asked her about her cancelling exams and asked her to provide a list of exams that she cancelled from the current day. She provided two names, neither of which showed up on the audit. The manager then ran a more complete audit and discovered that Karen had cancelled those exams correctly. The manager expanded the search. Over the previous six months, Karen had cancelled several hundred exams. The other clerks, in comparison, have only cancelled 10-20 exams in the same time period. This didn’t raise a big concern, since part of her job was to cancel exams that were not done. However, over 30 exams had diagnostic quality images on PACS, which did raise a big concern. There are now over 30 exams that need an explanation. These exams were cancelled for the following reasons: “Not done” “Not found” “No images” The manager asked her about the cancelled exams and she stated that someone else must have logged on, using her password that she gave them, and cancelled the exams. The manager reminded her that sharing passwords is a violation of hospital policy. She then stated that someone must have stolen it, and was trying to blame her. The manager reset every radiology password on PACS and in the RIS to remove any excuse going forward. A memo published about protecting access to computer systems and accountability for actions. The manager then ran another audit of user activity from PACS and RIS. Exams were cancelled during Karen’s work hours at Karen’s work station. Other users had concurrent activity in other parts of the building showing that they couldn’t have cancelled the exams. The manager expanding the search by running a list of exams cancelled before the implementation of the PACS. He gave the list to a different clerk to pull all the charts/jackets on the list and placed them in his office. An inspection of the first 20 jackets revealed that exams were cancelled; however, films did actually exist. The manager then informed his superior of the investigation and preliminary concerns and continued the investigation. The majority of the exams were found exactly where they were supposed to be, in the film jacket. When asked about the exams Karen stated she was following prior management’s instructions to cancel exams if they weren’t done. She stated that the instructions included cancelling exams to avoid Medical/Medicare fraud for inappropriate billing practices. Her process was to look for exams or ask the technical staff if the exam was good enough to submit for a reading. She also blamed the radiologists, stating they told her to cancel exams that were not of diagnostic quality. None of these excuses held up to scrutiny. The audit log demonstrated that she had cancelled exams without viewing them in PACS. She cancelled exams after several other staff had viewed the exam—including the Emergency Department (ED) physicians to treat them. The log showed her cancelling CT exams stating “no films” and they could have been reprinted from the scanner. The log showed her looking at exams and still cancelling them. The manager recommended to his immediate supervisor that Karen be terminated for poor work performance and willful tampering and falsification of medical records. She had cancelled over $300,000 worth of exams and delayed treatment to numerous patients. At least one surgery had to be delayed because the exam had to be repeated. This one employee harmed the reputation of the whole department and caused strife for other employees. The manager’s immediate supervisor, unfortunately, did not support the termination of this employee. Instead, this employee was reassigned different duties within the department. Evaluate the two questions and answer them following the writing guidelines. Questions: How do you feel about the decision to reassign this employee instead of terminating her? What decision would you make and why?

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Division and Coordination of Labor

Read the MERRITT’S BAKERY case study at the end of Chapter 13 of our text. Please insure you apply critical thinking and draw from your personal and professional experiences when answering the questions. How have the division and coordination of labor evolved at Merritt’s Bakery from its beginnings to today? Describe how span of control, centralization, and formalization have changed at Merritt’s Bakery over the years. Is the company’s organizational structure today more mechanistic or organic? Are these three organizational structure elements well-suited to the company in their current form? Why or why not? What form of departmentalization currently exists at Merritt’s Bakery? Would you recommend this form of departmentalization to this company? Why or why not?

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Consensus Paradigms

At least 300 words: What are the conflict and consensus paradigms of law? Discuss how these paradigms of law would interpret the following: a.        Decriminalization of marijuana for medical purposes b.       Laws prohibiting racial profiling in police stops c.        Physician-assisted suicide Please create an ethical dilemma on each of these ethical issues in order to illustrate the topic and make your arguments stronger.

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[SOLVED] Food Additives

How are food additives are useful?  And how do they work? Report references should be in Harvard style

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Pakistani Culture and Sexual Abuse

How do elements of Pakistani culture contribute to the acceptance of sexual abuse? Methodology 1500 words Specific issues/debates. This should include two or three chapters each addressing specific issues in the literature. 9000 words Key themes. This draws together key themes from the above chapters, relating them to the research question  2000 words Conclusion  1000 words The dissertation is required to have the following: These include: 1.  Conducting empirical or desk-based research to investigate your topic 2.  Critically examining, evaluating and analysing relevant sources of information 3.  The capacity to manage time effectively 4.  The capacity to express your ideas in written form. Achievement substantially above the threshold level of attainment at level 7 by demonstrating an excellent and systematic understanding of knowledge, and an excellent critical awareness of current problems and/or new insights, much of which is at, or informed by, the forefront of their academic discipline, the field of study or area of professional practice. An excellent but comprehensive understanding of techniques applicable to their own research or advanced scholarship. An excellent ability to demonstrate originality in the application of knowledge, together with an excellent ability to demonstrate a practical understanding of how established techniques of research and enquiry are used to create and interpret knowledge in the discipline. An excellent ability to evaluate critically current research and advanced scholarship in the discipline, to evaluate methodologies and develop critiques of them and, where appropriate, to propose new hypotheses. An excellent ability to deal with complex issues both systematically and creatively, make sound judgements in the absence of complete data and communicate their conclusions clearly to specialist and non?specialist audiences. An excellent ability to demonstrate self?direction and originality in tackling and solving problems, and act autonomously in planning and implementing tasks at a professional or equivalent level. An excellent ability to continue to advance their knowledge and understanding, and to develop new skills to a high level.

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Healthcare and Aging

Discuss how disease affects the elderly and how their lives might change. Include health insurance costs, the need for additional income for treatment or in-home healthcare, and the need for other resources. Consider the possibility that you may need progressive medications and treatments that could be life changing but may not be covered by insurance.

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Diagnostic Writing Exercise

There are a total of three articles to read in order to properly answer the questions. Article one is a link I have presented below. Article two is also linked below however I have presented a summary of the article and clicking the link is unnecessary for this one. Lastly, Article three has been uploaded to this site.  *Please write the answers in paragraph/essay form. Quotes would be nice but aren’t necessary. The point of this assignment is to show writing and critical thinking skills.   Prompt: According to the author of “Aesop’s Fables,” there are at least two ways the ancient story of the Wolf and the Lamb could have been interpreted by the Greeks of Aristotle’s day. 1) What are these two interpretations? 2) What is Edward Clayton’s central argument about these interpretations? 3) What rhetorical appeals–ethos, pathos, logos–does Clayton use most effectively to present his case? 4) And finally, if you were to tell the story of the Wolf and the Lamb today to explain a current social problem facing college students how would you interpret the different roles of Wolf and Lamb?  Article #1 http://www.gutenberg.org/cache/epub/28/pg28-images.html A General Summary of  Article #2: The goal of argumentative writing is to persuade your audience that your ideas are valid, or more valid than someone else’s. The Greek philosopher Aristotle divided the means of persuasion, appeals, into three categories–Ethos, Pathos, Logos. Ethos (Credibility), or ethical appeal, means to convince by the character of the author. We tend to believe people whom we respect. One of the central problems of argumentation is to project an impression to the reader that you are someone worth listening to, in other words making yourself as author into an authority on the subject of the paper, as well as someone who is likable and worthy of respect. Pathos (Emotional) means persuading by appealing to the reader’s emotions. We can look at texts ranging from classic essays to contemporary advertisements to see how pathos, emotional appeals are used to persuade. Language choice affects the audience’s emotional response, and emotional appeal can effectively be used to enhance an argument. Logos (Logical) means persuading by the use of reasoning. This will be the most important technique we will study and Aristotle’s favorite. We’ll look at deductive and inductive reasoning, and discuss what makes an effective, persuasive reason to back up your claims. Giving reasons is the heart of argumentation, and cannot be emphasized enough. We’ll study the types of support you can use to substantiate your thesis and look at some of the common logical fallacies, in order to avoid them in your writing. Or The Shorthand Version: Ethos: the source’s credibility, the speaker’s/author’s authority Logos: the logic used to support a claim; can also be the facts and statistics used to help support the argument. Pathos: the emotional or motivational appeals; vivid language, emotional language, and numerous sensory details. Ethos, Pathos, and Logos Logos (Greek for ‘word’) refer to the internal consistency of the message–the clarity of the claim, the logic of its reasons, and the effectiveness of its supporting evidence. The impact of logos on an audience is sometimes called the argument’s logical appeal. Ethos (Greek for ‘character’) refers to the trustworthiness or credibility of the writer or speaker. Ethos is often conveyed through tone and style of the message and through the way the writer or speaker refers to differing views. It can also be affected by the writer’s reputation, as it exists independently from the message–his or her expertise in the field, his or her previous record or integrity, and so forth. The impact of ethos is often called the argument’s ‘ethical appeal’ or the ‘appeal from credibility.’ [P]athos (Greek for ‘suffering’ or ‘experience’) is often associated with emotional appeal. But a better equivalent might be ‘appeal to the audience’s sympathies and imagination.’ An appeal to pathos causes an audience not just to respond emotionally but also to identify with the writer’s point of view–to feel what the writer feels. In this sense, pathos evokes a meaning implicit in the verb ‘to suffer’–to feel pain imaginatively… Perhaps the most common way of conveying a pathetic appeal is through narrative or story, which can turn the abstractions of logic into something palpable and present. The values, beliefs, and understandings of the writer are implicit in the story and conveyed imaginatively to the reader. Pathos thus refers to both the emotional and the imaginative impact of the message on an audience, the power with which the writer’s message moves the audience to decision or action. [The above text from Ramage, John D., and John C. Bean. Writing Arguments. 4th Edition. Needham Heights, MA: Allyn & Bacon, 1998, 81-82.] http://www.u.arizona.edu/ic/polis/courses021/ENGL_102-78/EthosPathosLogos  (Links to an external site.)

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