Developing Organizational Policies And Practices

Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly.

Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice.

Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization.

To Prepare:

  • Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected.
  • Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.
  • Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.

The Assignment (4-5 pages):

Developing Organizational Policies and Practices

Add a section to the paper you submitted in Module 1. The new section should address the following:

  • Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
  • Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
  • Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
  • Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
  • Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.
 
"Our Prices Start at $11.99. As Our First Client, Use Coupon Code GET15 to claim 15% Discount This Month!!"

GENOGRAM FOR CLIENT

Prepare A Genogram For The Client You Selected. The Genogram Should Extend Back By At Least Three Generations (Great Grandparents, Grandparents, And Parents)

I will provide a client without violating HIPPA these are the areas need to be addressed in the genogram

  • Demographic information
  • Presenting problem
  • History or present illness
  • Past psychiatric history
  • Medical history
  • Substance use history
  • Developmental history
  • Family psychiatric history
  • Psychosocial history
  • History of abuse/trauma
  • Review of systems
  • Physical assessment
  • Mental status exam
  • Differential diagnosis
  • Case formulation
  • Treatment plan

Pain Today (0-10): Pain is described as 1 out of 10.  Allergies: NKDA  SLEEP ISSUES: Hours of sleep per night: 6-7 Snores: No Sleep latency: 0-15 min Daytime Somnolence: No   Substance History: Caffeine Use: No Cups/Date Equivalent: Tobacco/e-cigs: none Packs/Date Equivalent: Illicit drug use: denied   DEVELOPMENTAL/SOCIAL HISTORY: Patient reports that he grew up in Mississippi. His father died in a motor vehicle accident when he was several months old. Raised by his mother and stepfather. Denies any abuse history. Never married. Has a bachelor’s of arts in communication from Grambling UNIV. reports that he worked at Lowe’s during college and thereafter. Is an AGR Soldier within the United States Army reserves in Mississippi from 2012-2018. States that his religion and spiritual values preference being Christian.  Patient was primarily raised by Biological parents and that childhood was generally Good. Patient denies ever being physically, sexually or emotionally abused. Highest level of education achieved is: 4-year college degree or equivalent. Patient is currently single and currently lives with Other. Housing is currently Off-Post. Patient reports religion, faith or spirituality DO play an important role in life. Social support reported as satisfactory. Patient reports the following history of legal issues: None of the above.  PAST FAMILY/MEDICAL HISTORY: Family Medical Illnesses: None Family Behavioral Health Illnesses: None Family Substance Use History: None  OBJECTIVE MSE Orientation: ☐None ☒Place ☒Object ☒Person ☒Time Attention: ☒Normal ☐Distracted ☒Other: Maintained focus and attention throughout the session. Appearance: ☒Neat ☐Disheveled ☐Inappropriate ☐Bizarre ☒Other: dressed in civilian attire. Behavior: ☒Cooperative ☐Guarded ☐Withdrawn ☐Agitated ☐Stereotyped ☐Aggressive ☒Other: calm Eye Contact: ☒Normal ☐Intense ☐Limited ☒Other: maintained appropriate eye contact during the session. Psychomotor: ☒Normal ☐Restless ☐Tics ☐Slowed ☐Other Speech: ☒Normal rate, volume, and rhythm ☐Tangential ☐Pressured ☐Impoverished ☐Other Mood: “I feel good overall.” Affect: ☒Congruent with mood ☒Euthymic ☐Anxious ☐Angry ☐Depressed ☐Euphoric ☐Irritable ☐Constricted ☐Flat ☐Labile ☐Other Thought Process: ☒WNL ☐Circumstantial ☐Tangential ☐Loose Associations ☐Disorganized ☐Other Thought Content: ☒WNL ☐SI ☐HI ☒ potentially paranoid ☐A/V hallucinations ☐Delusional ☒Other: Denies SI/HI plan or intent Memory Impairment: ☒WNL ☐Short-Term ☐Long-Term ☐Other Insight: ☐Good ☒Fair ☐Poor Comments: Judgment: ☐Good ☒Fair ☐Poor Comments:  BHDP: Behavioral Health Vitals (patient reported): Overall health reported as: Good Pain Level (0-10): 0 Currently treated: N/A Suicidal Ideation Risk – C-SSRS-S score: 0 Past/Prep Behavior last 3 months: N/A # past attempts as of 12/07/2016: 2 Most recent Suicidal Ideation: N/A Suicidal Ideation Duration: N/A Suicidal Ideation Frequency: N/A Protective Elements Stopping Suicidal Actions: Faith/Religion, Family, Hope for future, Friends, Other Harm Others Risk over next week as of 12/18/2018 – None Active Plan: N/A Patient with access to weapons: No  Recent Outcome Measures (last 30 days) BASIS24 – Score: 0.56 – Subclinical to low level of general distress reported (12/18/2018) PHQ9 – Score: 4 – Depressive syndrome unlikely (12/18/2018) GAD7 – Score: 3 – Anxiety syndrome unlikely (12/18/2018) PCL-5 – Score: 3 – None-Low PTSD symptoms reported (12/18/2018) PCL-C: N/A AUDIT: N/A CSI – Score: 8 – Possible relationship distress reported. Evaluation indicated. (11/30/2018) ISI – Score: 9 – Subthreshold insomnia (12/18/2018) BAM: N/A  LABORATORY RESULTS: Reviewed laboratory results  ASSESSMENT Patient Strengths: ☐ None reported ☐ motivated ☐ insightful ☐ committed ☐ Tx compliant ☒ family support ☐ social support ☐desires change ☐ previous positive BH experience ☐ desire to address longstanding issues ☒ good expressive language ☐ good ego strength ☐ Other:  Patient Barriers: ☐ None reported ☐ unmotivated ☐ limited insight ☒ uncommitted ☐ Tx non-compliant ☐ limited family support: ☐resistant ☐co-morbid Dx ☐ previous negative BH experience ☒ limited social support ☐cognitive impairment/TBI ☐low ego strength ☒ Other: Not resistant but questions the validity of his behavioral healthcare  SAFETY RISK ASSESSMENT ☐YES ☒NO History of Suicidal Ideation: ☐YES ☒NO History of Suicidal Planning: ☐YES ☒NO History of Suicidal Gestures: ☐YES ☒NO History of Suicidal Attempts: ☐YES ☒NO Close friends/family who have attempted/completed suicide: ☐YES ☒NO History of intentionally harming others or destroying property: ☐YES ☒NO Current intentions to engage in above behaviors: ☐YES ☒NO History of impulsive-taking:  Risk Factors: ☐None reported ☒Male ☐Impulsive ☒Weapons access ☐Legal Stressors ☐Financial Stressors ☒Occupational conflict ☐Chronic medical problems ☐Substance abuse: ☐Abuse victim: ☐History of suicidal gestures ☐History of family/friend suicide ☐Relationship problems ☐OTHER: insomnia  Protective Factors: ☐None reported ☐Married ☐Children ☒Positive religious coping ☒Future orientation ☒Healthy coping skills ☐Active treatment participation ☒Supportive spouse ☐Supportive family ☐Social support ☒PT wants to continue treatment ☐OTHER:  This provider considered the above risk/protective factors and has determined the following risk level: RISK: Harm to Self – ☒Not Elevated ☐Low ☐Intermediate ☐High Harm to Others – ☒Not Elevated ☐Low ☐Intermediate ☐High SAFETY:☐YES ☒NO Imminent threat to self. ☐YES ☒NO Imminent threat to others. ☐YES ☒NO Imminent threat of harm from other individuals. ☒YES ☐NO Patient is fully able to make informed medical decisions and manage affairs. ☒YES ☐NO Patient is unlikely to withhold information about SI/HI ideation or intent. ☒YES ☐NO Patient is considered to be a reliable source of information.  DIAGNOSTIC FORMULATION: This is a 35-year-old male who was deployed to the Middle East as an individual unit augmentee. He reports that he became an conflict with his leadership over mishandling funds, and other ethical related issues. The unit is making the claim that the patient is misperceiving these incidences, based off of the provider assessment in-theater; paranoia over this situation was identified.  DSM Diagnosis(es) Code: Other occupational structure stressors R/O: Delusional Disorder, psychosis  Estimated Treatment Prognosis: Good .  PLAN Treatment Summary: 1) Patient was provided psychoeducation, assessment of current functioning, risk/safety assessment, development of rapport, development of treatment goals, empathic listening and directed questioning techniques to elicit information and provided supportive environment to facilitate patient insight. Patient was provided active listening, strategic reflection, encouragement and validation. Other therapies discussed include: 1. Diaphragmatic Breathing 2. Progressive Muscle Relaxation 3. Safe Place Imagery 4. Mindful breathing 5. Problem solving techniques 6. Sleep Hygiene 7. Discussed, Virtual Hope box, Tactical Breather, Moving forward and Mindfulness coach apps available on smart phone.  2) Discussed open-access clinic available at BH clinic. Pt agree if symptoms worsen or if new behavioral concerns arise, Pt to call, RTC, or if after duty hours, go to ED and/or call emergency line. Limits to confidentiality were discussed with the patient as appropriate.  3) Attending behavioral health group for deployed service members on Monday, Tuesday, Thursday and/or Friday from 1430-1600.  Medications: None  Risk/Suicide Management Plan: ☒YES ☐N/A The patient will follow-up in therapy to address treatment goals. ☒YES ☐N/A The patient has demonstrated the ability to and has agreed to make use of a crisis response plan. ☐YES ☒N/A The patient was added to the High Interest Program to track continuity of care. ☐YES ☒N/A Persons notified: ☐YES ☒N/A Emergency Contacts: ☒YES ☐N/A Emergency Contacts and Crisis Response Plan: Call friends, family members, or a trusted chaplain. Contact Military One Source at http://www.militaryonesource.mil/ or call 00-800-3429-6477. Call Wounded Soldier and Family Hotline at OCONUS DSN 312-421-3700. Access www.realwarriors.net/livechat for online chat support. After duty hours, call 112, call MPs, First Sergeant or primary supervisor if feeling suicidal. During duty hours, walk in to Behavioral Health Clinic. Go to the Emergency Room at Landstuhl Regional Medical Center. They will call the on-call Behavioral Health Provider. ☐YES ☒N/A Safety plan worksheet uploaded into HAIMS.

 
"Our Prices Start at $11.99. As Our First Client, Use Coupon Code GET15 to claim 15% Discount This Month!!"

Analytics For Decision-Making

This question requires you to consider an organisation that you have previously worked for, or any organisation that you are familiar with. In the following tasks, you will need to think about the role of a dashboard that could assist managers with effective data analysis and communication. Build such a dashboard on your own, and attach a screenshot of the dashboard.

(a) Discuss the appropriateness of using strategic, tactical or operational dashboards in this

 

context.

(10 marks)

 

(b) The management believes that the dashboard can be further improved by having more interactions to help users to explore data at different granularity. Propose one (1) or more

 

filters to promote interactivity.

(10 marks)

 

(c) Recommend the desired charts that will help enhance the dashboard. Justify your recommendations.

You may use or change the Generic dataset (generic.xls) provided, or any publicly available data sources (e.g., https://www.gapminder.org/data/), to construct the dashboard with the recommended changes in Question 1(c). Provide screenshots of the new charts and the constructed dashboard in your report, and store the Tableau workbook into a single Tableau workbook file with extracted data. Name the workbook as “student_number.tbwx”.

 

Variable 

 

Description 

 

Remarks 

 

CustomerIndex

 

ID of the customer

 

Age

 

Age of the customer

 

Gender

 

Gender of the customer: F – Female, M – Male

 

Marital Status

 

Marital status of the customer

 

Race

 

Race of the customer

 

Visit_Time

 

Date of Purchase

 

You can change the dates range accordingly.

 

Visit_Type

 

Online or store visit

 

Amount

 

Amount they spent

 

Product

 

Product bought:

 

Revenue

 

Revenue that was generated from the sales.

 

Revisit

 

Either new or returning customer

 

(15 marks)

 

Question 2 

  1. (a)  Based on the organisation selected in Question 1, state the mission and vision of the
    organisation and list one (1) of its strategic objectives.
  2. (b)  Identify several measurable metrics (e.g., KPIs) that can help to achieve the strategic
    objective stated in Question 2(a) and discuss your rationale.

Question 3 

The organisation that you have selected in Question 1 had collected customer feedback (written in free-format texts) over the years and would like to apply text mining in order to understand their customers better. Explain the benefits of the project and outline five (5) challenges that the organisation is likely to face with analysing textual data. Suggest matching text mining functions that can be applied to overcome the challenges identified.

(15 marks)

 

(10 marks) (20 marks)

 
"Our Prices Start at $11.99. As Our First Client, Use Coupon Code GET15 to claim 15% Discount This Month!!"

Commercial Bank Finance

1. How does the most recent 2008-09 recession differ from most other economic recessions since the Great Depression?

2. What is a bank? How does a bank differ from most other financial-service providers?

3. Which businesses are banking’s closest and toughest competitors? What services do they offer that compete directly with banks’ services?

4. Why are banks special?

5. What is a financial intermediary? What are its key characteristics? Is a bank a type of financial intermediary?

6. What are the reasons for regulating the functions of banks?

7. What is the dual banking system?

8. What is the principal role of the Comptroller of the Currency?

9. What is the principal job performed by the FDIC?

10. What key roles does the Federal Reserve System perform in the banking and financial system?

11. What is the Glass-Steagall Act, and why was it important in banking history? 12. What are the main ideas of the Federal Deposit Insurance Corporation Improvement Act of 1991?

 
"Our Prices Start at $11.99. As Our First Client, Use Coupon Code GET15 to claim 15% Discount This Month!!"

Excel – Regression

In this assignment, you will perform a multiple regression analysis inside of Microsoft Excel.

Walk through the example regression problem.

 

Learn by Marketing. (2018). Linear regression by hand and in Excel (Links to an external site.). Retrieved from http://www.learnbymarketing.com/tutorials/linear-regression-by-hand-in-excel/

Now complete a secondary regression using the changed data table you can download here data-marketing-budget-12mo-version2Preview the document [Excel file]

Complete a multiple regression using the data “Use Sales” as the Y Range and “Social Media,” “Web” and “Print” as the X-Range.

Include residuals, line-fit plots and Normal probability plots.

Read: Regression analysis in Excel (These are videos to help you if you’re still unsure how to do regression).

· QIMacros. (2018). Regression analysis in Excel (Links to an external site.). Retrieved from https://www.qimacros.com/hypothesis-testing/regression/

Watch: Multiple Regression Interpretation in Excel.

This video provides an example of interpreting multiple regression output in excel:

https://www.youtube.com/watch?v=tlbdkgYz7FM

Analyze what you are able to determine from the regression:

·       Regression statistics

·       Equation of the line

·       Effects of variation of spend in Social Media and Web

Include a copy of your Excel file with the regression output in a separate sheet

 
"Our Prices Start at $11.99. As Our First Client, Use Coupon Code GET15 to claim 15% Discount This Month!!"

Healthcare Delivery Process

This assignment will allow the student an opportunity to demonstrate their knowledge of the changes in healthcare delivery. Within the paper, the student needs to address the following topics:

  • Describe how changes in healthcare delivery have led to a decrease in inpatient services.
  • Indicate how inpatient treatment practices have changed as a result of these changes.
  • Include the impact inpatient treatment practices have had on outpatient ambulatory services.

Format

Students should use the following format for their written assignment.

  1. Your paper must include two to three pages of written content.
  2. Use APA format and cite sources, as necessary. If you need a refresher on APA, reference the APA Learning Unit (located in Blackboard under Tools and Resources). Do your resources meet the CRAAP test? Reference the Tools and Resources section in Blackboard for more information.
  3. In addition to the 2 to 3 pages of written content, please include:
    1. Title Page
    2. Appropriate Headings and Sub-Headings
    3. ReferencePage (minimum of 3 scholarly references)
  4. Use a minimum of 3 scholarly references – scholarly references can include peer-reviewed articles, textbooks, journals and scholarly news articles. You may not use the course text as a reference.
 
"Our Prices Start at $11.99. As Our First Client, Use Coupon Code GET15 to claim 15% Discount This Month!!"