Questions
Question 2 b The policy of the facility is that the young people must be woken...

Question 2 b The policy of the facility is that the young people must be woken three times by knocking on their doors. Staff may not enter the rooms and the young people are not forced to get up. Consequently, there is little incentive for clients to get up. They tend to stay in bed all day then go out all night and get drunk or drug affected. Nicole feels that these young people lack discipline. They should be made to get up in the morning – even if it means going into their rooms and throwing water over them. That’s what her Dad used to do when she wouldn’t get up in the morning! Then they could be locked in the house at night to stop all the night time shenanigans! How else will they grow up to be functioning members of the community?

b) Do you think this situation is causing Nicole further stress? Why/why not?

In: Nursing

You are a nurse admitting a patient to the hospital from the emergency department (ED) with...

  1. You are a nurse admitting a patient to the hospital from the emergency department (ED) with shortness of breath and recent weight loss. After receiving a report from the ED nurse, you ready the patient’s room according to unit specifications and collect the necessary equipment and forms. When the patient arrives, she is using oxygen via a nasal cannula and seems to be comfortable. As you begin your admission activities and paperwork, you note that her shortness of breath slightly increases as she answers your questions. (Learning Objectives )
    1. What data in the scenario are pertinent?
    2. What type of nursing assessment would you expect to complete and why?
    3. Why would you need to establish assessment priorities?
    4. What patient factors would assist in identifying and prioritizing data?
    5. What challenges might the nurse encounter during data collection?

In: Nursing

You receive a patient as a direct admission from a physician’s office. During the patient’s transfer...

  1. You receive a patient as a direct admission from a physician’s office. During the patient’s transfer from the wheelchair to the bed you note a limp. The patient’s daughter is present and comments, “This is the fourth time she’s been admitted to this hospital in the past year.” The patient and her daughter demonstrate a close, loving relationship. The daughter not only encourages her mother but also sets boundaries regarding her mother’s anxiety. (Learning Objectives #3, #4, and #5)
    1. What categories of data (provide definitions as well) would you expect to collect in this admission interview?
    2. Describe the characteristics of collected data and their impact on collected data.
    3. Where could you find helpful data sources?
    4. Describe the role of observation of incompetent nursing care.

In: Nursing

Which of the following is an example of a core-training exercise? Group of answer choices Modified...

Which of the following is an example of a core-training exercise?

Group of answer choices

Modified dip

Pushup

Abdominal crunch

Step-up

Leg curl

In: Nursing

I'm having trouble with knowing what type of dye you need to use for the microorganisms...

I'm having trouble with knowing what type of dye you need to use for the microorganisms in Microbiology, can you please explain

In: Nursing

revsion of bold area and grammer check TOPIC : You are the manager at a home...

revsion of bold area and grammer check

TOPIC :

You are the manager at a home health agency. One of your elderly patients has insulin-dependent diabetes. He has no family support. He speaks limited english and has little understanding of his disease. He lives alone. Your reimbursement from a government agency pays $90 per visit. Because this gentleman needs so much care, you find that the actual cost to your agency is $130 for each visit to him.

1. What will be the impact to your agency if this patient is seen twice a week for three months?

2. How can you recover the lost revenue?

3. How can you make each visit less costly and still meet the needs of the patient? Support using one peer reviewed nursing article and your text book.

paper

Home health facilities are clinical rehabilitation organizations served by a certified rehabilitation physician, occupational therapist, physical therapist, or other trained medical providers. They are frequently suggested in the process of hospitalization as part of the treatment package. They offer a broad variety of services that can also postpone the need for long-term treatment. Studies have also shown that the burden of treating chronic conditions is reduced by treatment consistency (Henkel,2015). Treatment consistency leads to stronger communication between the patient and the doctor. The doctor also knows the patient background well in terms of treatment quality. It helps to identify and diagnose some diabetes-related symptoms early.

In this present scenario, one of these elderly patients is suffering from insulin-dependent diabetes, has no family support, lives lonely, speaks limited English and has little understanding of the disease he is suffering from. For a home health care agency and with government reimbursement of $90 per visitation, he needs a lot of care according to his condition. Essentially, $130 is the actual cost that is required for each visit. This man needs a lot of care twice a week for three months. If the patient is visited twice a week, the government reimbursement is $90 for every visit and agency actual cost is $130 for every visit. This leads to a financial burden on the home healthcare agency. This is because it is a private entity, which needs to meet patient demands as well as those of staff. The staff have to be paid for their services.

The cost-shifting [<I'm not sure if this is a good proposal. How about cross subsidization instead? Also, consider cost reduction/cutting.] procedure could restore lost revenue. The hospital charges two separate payments on two distinct classes [Can you elaborate what you mean by "classes"? Do you mean socioeconomic class of patients?] for the same care. The well-off group of patients spends extra for the care, which compensates for the money that the hospital has missed. As a manager, I [<Consider using third-person writing.] would source a billing company, which can rapidly make correct payments, facilitate the repayment system and minimize the amount of outstanding or rejected claims. Alternatively, I could hire billing professionals with specialist experience in home health care and can bill multiple payers, including Medicare, Medicaid, and exchange insurance, besides ensuring the revenue cycle is going smoothly. Comprehensive predictive technology could be chosen as it helps the home health billing provider's insight into financial service organizations by detecting patterns, finding missed sales prospects, and incorporating payer-specific information. The best billing agencies can be allowed to collaborate with home health departments to restore missing reclamations [Deficits of claim reimbursements?] to ensure that the facilities they deliver are adequately accounted for. Medicare covers a wide range of services to ensure it meets its beneficiaries' health needs, including reimbursement for a health care agency.

[Remember to remove spaces before and after paragraphs.]

The health care agency manager can also opt for the following:

1. Right arrow acute billing [Do you mean to bill for acute care as much as possible? I recommend you consider Fraud, Waste, and Abuse (FWA).], which turns around fast. It can choose a billing company that is able to surrender to quickly clean and precise [process?] claims. It can also speed up reimbursement process thereby reducing unpaid claims or denial claims.

2. Right arrow billing expertise - the healthcare agency should hire staff [How about outpatient medical coders?] billing experts with appropriate knowledge who can poster a number of financiers that include Medicaid and Medicare thus ensuring smooth running of the revenue cycle.

3. Right arrow web based analytical technology - billing companies offer complete analytic technology that provides [> intuition financial matters of the intervention financial health <I'm not sure what you mean here.] by observing tendencies, identifying lost chances and enhancing payer-specific analysis.

4. Right arrow billing recovery will specialize at managing the due entitlements and aged accounts. Top billing companies will toil hand in hand with home-based healthcare agencies to recuperate some lost entitlements for poor services and payment provided.

By approaching through the above outlined methods, the agency can regain and bring back lost revenue. Early diagnosis decreases the additional hospital costs. The entities above utilize billing skills to charge a range of payers such as Medicare and Medicaid because the home health provider's payment would be paid by Medicare to satisfy beneficiaries' demands. Physicians may decrease the expense of treating by recommending a low-priced form, such as generic medicine rather than an advertised drug. If there is not a safe alternative, a cheaper substitution should be recommended.

[Remember to include a reference list. For APA 7 format, type "References" in bold and center it.]

Henkel, R. J., & Maryland, P. A. (2015). The Risks and Rewards of Value-Based Reimbursement. Frontiers of health services management, 32(2), 3-16.

In: Nursing

What are some strategies to consider when delivering performance appraisals to health care employees? What has...

  • What are some strategies to consider when delivering performance appraisals to health care employees?
  • What has or has not worked for you in the past, either as a manager or employee receiving a performance appraisal?

In: Nursing

what are some initiatives from AMERICAN OF COLLEGES OF NURSING (AACN))

what are some initiatives from AMERICAN OF COLLEGES OF NURSING (AACN))

In: Nursing

A child is admitted to the intensive care unit with third-degree burns. How would your nursing...

A child is admitted to the intensive care unit with third-degree burns. How would your nursing care plan differ for a child in each of the stages listed below? Be sure to include the type of dialog you would use to explain painful procedures to each age group.

A. Toddler:

B: Preschooler:

C. School-aged child:

D. Adolescent:

In: Nursing

Your second patient has a gastrointestinal complaint. Using the chart of digestive medical word elements from...

Your second patient has a gastrointestinal complaint. Using the chart of digestive medical word elements from your textbook, construct 10 medical terms that would reasonably be involved in a complaint dealing with the digestive tract. Each term should include its meaning in parentheses. Then list 3 tests or procedures that would reasonably be involved in evaluating a patient like this. write 500 words

In: Nursing

Your final patient has a respiratory problem, so something having to do with her breathing or...

Your final patient has a respiratory problem, so something having to do with her breathing or lungs needs to be described. Again, use at least 10 terms from the reading, especially using the respiratory medical word elements from your textbook. Also, you need to include 3 tests or procedures that will help you to discover what the problem with your patient is.

In: Nursing

what you would do as the Receptionist in each of the following situations: 1. Mr. Anderson...

what you would do as the Receptionist in each of the following situations:

1. Mr. Anderson is usually a relaxed and easy-going individual. This morning, however, he arrives for his appointment and is rather rude to you and the rest of the staff members in the front office. His appointment is at 10:00 and it is 9:30 now. You have one other patient in the Reception Area and none in any examing rooms.What should you do with regards to Mr. Anderson?

2.   Travis Smith is four years old and full of energy. He's in the office with his grandmother today. While she sits knitting a blanket Travis is hopping from chair to chair pretending he is Spider Man. It is 1:00 and his appointment is at 1:30. What might you do in this situation?

3.    Mr. Sanders is a 90 year old patient who has difficulty hearing. His son has brought him in for a routine check-up. You need to have Mr. Sanders update his information in your system. How should you go about getting the information?

4.     Jill Swanson is blind. She arrives for her appointment with her guide dog Samson. What do you do with the dog while Jill is in the office?

5.   Donald Carlson recently had a stroke and suffers from dysphasia (difficulty speaking) as a result. He is undergoing occupational therapy to help him re-learn how to do day to day tasks. How do you deal with his communication difficulties in the office?

In: Nursing

Explain the medication Levothyroxine and how it works to treat hypothyroidism?

Explain the medication Levothyroxine and how it works to treat hypothyroidism?

In: Nursing

Write in your own words about Japanese death, rituals and dying practices and also, Compare and...

Write in your own words about Japanese death, rituals and dying practices and also, Compare and Contrast the differences and similarities between Neo-paganism, Wiccan, and New Age beliefs, rituals, and death practices. NOTE: (IT SHOULD BE 600 WORDS or More) Thanks

In: Nursing

Basic concept template for indication of fluid volume excess related content, underlying principles and nursing intervention

Basic concept template for indication of fluid volume excess related content, underlying principles and nursing intervention

In: Nursing