Risk Evaluation and Mitigation Strategy in Medical Setting

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Risk Evaluation and Mitigation Strategy

  • Pick a pharmaceutical or biologic that is approved in the EU or US that does not presently have a REMS Risk Evaluation and Mitigation Strategy.
  • Try to choose one that has had previous safety issues as evidenced by either communications from Regulatory Authorities or SAE’s (Serious Adverse Event) reported by healthcare facilities or patients.
  • Prepare a REMS for the product that you choose following the FDA guidance document, “Format and Content of a REMS Document, dated October 2017. https://www.fda.gov/media/77846/download
  • Each REMS should contain a either a mocked-up patient enrollment form or a prescriber enrollment form.
  • Make sure that you include at least one REMS element (i.e., Medication Guide, patient package inserts or communication plan).
  • The REMS element will be separate from the REMS. Either do it as a separate document that is appended to the REMS or start it separated by a page or section break of your REMS

Note: if the drug or biologic you choose has a medication guide then you cannot provide the medication guide as your one REMS element.

You will have to choose another REMS element to provide. The REMS elements should be created by you.

Format:

Times New Roman, 12 font

Cite your references.

Due:

REMS document that includes:

  1. Include either a mocked up patient or prescriber enrollment form
  2. Include one REMS element (i.e., Medication Guide, patient package inset or communication plan)

Quality Improvement Initiatives

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Prepare an 8 page data analysis and quality improvement initiative proposal based on a health issue of professional interest to you. The audience for your analysis and proposal is the nursing staff and the interprofessional team who will implement the initiative.

“A basic principle of quality measurement is: If you can’t measure it, you can’t improve it” (Agency for Healthcare Research and Quality, 2013).

Health care providers are on an endless quest to improve both care quality and patient safety. This unwavering commitment requires hospitals and care givers to increase their attention and adherence to treatment protocols to improve patient outcomes. Health informatics, along with new and improved technologies and procedures, are at the core of virtually all quality improvement initiatives. The data gathered by providers, along with process improvement models and recognized quality benchmarks, are all part of a collaborative, continuing effort. As such, it is essential that professional nurses are able to correctly interpret, and effectively communicate information revealed on dashboards that display critical care metrics.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 2: Plan quality improvement initiatives in response to routine data surveillance.
    • Outline a QI initiative proposal based on a selected health issue and supporting data analysis.
  • Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures.
    • Analyze data to identify a health care issue or area of concern.
  • Competency 4: Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality.
    • Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality.
  • Competency 5: Apply effective communication strategies to promote quality improvement of interprofessional care.
    • Apply effective communication strategies to promote quality improvement of interprofessional care.
    • Communicate evaluation and analysis in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
Reference

Agency for Healthcare Research and Quality. (2013). Preventing falls in hospitals. Retrieved from https://www.ahrq.gov/professionals/systems/hospital/fallpxtoolkit/fallpxtk5.html#tiptop

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

Reflect on QI initiatives focused on measuring and improving patient outcomes with which you are familiar.

  • How important is the role of nurses in QI initiatives?
  • What quality improvement initiatives have made the biggest difference? Why?
  • When a QI initiative does not succeed as planned, what steps are taken to improve or revise the effort?
Quality Improvement Examples and Results

These resources explore the effectiveness and lessons learned from various quality improvement initiatives.

These articles showcase examples of strategic QI projects.

This resource evaluates a QI initiative based on a communication strategy.

Benchmarks for Quality Indicators

These databases provide recognized benchmarks for quality indicators.

In this assessment, you will propose a quality improvement (QI) initiative proposal based on a health issue of professional interest to you. The QI initiative proposal will be based on an analysis of dashboard metrics from a health care facility.

  • Analyze data from the health care facility to identify a health care issue or area of concern. You will need access to reports and data related to care quality and patient safety. If you work in hospital setting, contact the quality management department to obtain the data you need.
  • You will need to identify basic information about the health care setting, size, and specific type of care delivery related to the topic that you identify. You are expected to abide by HIPAA compliance standards.
Option 2

If you do not have access to a dashboard or metrics related to a QI initiative proposal:

  • You may use the hospital data set provided in the media piece titled Vila Health: Data Analysis. You will analyze the data to identify a health care issue or area of concern.
  • You will follow the same instructions and provide the same deliverables as your peers who select Option 1.

Instructions

Analyze dashboard metrics related to the selected issue.

  • Provide the selected data set in the proposal.
    • Assess the stability of processes or outcomes.
    • Delineate any problematic variations or performance failures.
  • Evaluate QI initiatives on the selected health issue with existing quality indicators from other facilities, government agencies, and non-governmental bodies on quality improvement.
    • Analyze challenges that meeting prescribed benchmarks can pose for a heath care organization and the interprofessional team.
  • Outline a QI initiative proposal based on the selected health issue and data analysis.
    • Identify target areas for improvement.
    • Define what processes can be modified to improve outcomes.
    • Propose strategies to improve quality.
    • Define interprofessional roles and responsibilities as they relate to the QI initiative.
    • Provide recommendations for effective communication strategies for the interprofessional team to ensure the success of the QI initiative. Briefly reflect on the impact of the proposed initiative on work-life quality of the nursing staff and interprofessional team.
  • Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

The numbered points below correspond to grading criteria in the scoring guide. The bullets below each grading criterion further delineate tasks to fulfill the assessment requirements. Be sure that your Quality Improvement Initiative Evaluation addresses all of the content below. You may also want to read the scoring guide to better understand the performance levels that relate to each grading criterion.

  • Analyze data to identify a health care issue or area of concern.
    • Identify the type of data you are analyzing (from your institution or from the media piece).
    • Discuss why the data matters, what it is telling you, and what is missing.
    • Analyze dashboard metrics and provide the data set in the proposal.
    • Present dashboard metrics related to the selected issue.
    • Delineate any problematic variations or performance failures.
    • Assess the stability of processes or outcomes.
    • Evaluate the quality of the data and what can be learned from it.
    • Identify trends, outcome measures and information needed to calculate specific rates.
    • Analyze what metrics indicate opportunities for quality improvement.
  • Outline a QI initiative proposal based on a selected health issue and supporting data analysis.
    • Identify benchmarks aligned to existing QI initiatives set by local, state, or federal health care policies or laws.
    • Identify existing QI initiatives related to the selected issue, and explain why they are insufficient.
    • Identify target areas for improvement, and define what processes can be modified to improve outcomes.
    • Propose evidence-based strategies to improve quality.
    • Evaluate QI initiatives on the selected health issue with existing quality indicators from other facilities, government agencies, and non-governmental bodies on quality improvement.
    • Analyze challenges that meeting prescribed benchmarks can pose for a heath care organization and the interprofessional team.
  • Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality.
    • Define interprofessional roles and responsibilities as they relate to the data and the QI initiative.
    • Explain how you would you make sure that all relevant roles are fully engaged in this effort.
    • Explain what non-nursing concepts would you incorporate into the initiative?
    • Identify how outcomes to measure the effect of the intervention affect the interprofessional team.
    • Briefly reflect on the impact of the proposed initiative on work-life quality of the nursing staff and interprofessional team. Describe how work-life quality is improved or enriched by the initiative.
  • Apply effective communication strategies to promote quality improvement of interprofessional care.
    • Identify the kind of interprofessional communication strategies that will be effective to promote and ensure the success of this performance improvement plan or quality improvement initiative.
    • In addition to writing, identify communication models (like CUS, SBAR) that you would include in your initiative proposal.
  • Communicate evaluation and analysis in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
  • Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

QI data

Hi! I heard through word of mouth that you were looking for some possible areas of improvement in the hospital. I’ve got some data from SAMC’s in-home hospice program that might be useful.

I realize that you may not be familiar with the hospice program, so I also set up some meetings with a few people with a stake in the program. I’m hoping they can give you some context for the data you’re looking at.

Let me know if you need anything!

Sienna Pope,

Director of Medical Support Services

Hospice and Home Health Adverse Event Data 2014-2015

Per Vila Health policy, these figures include near misses as well as events that resulted in some level of harm or potential harm to the patient, for both home health care and hospice care patients. This is a summary of the data; a downloadable spreadsheet that provides all the data you will need for your presentation is also available below.

Unit – Year LOS Less than 7 Days IPU Admission Pain Level 7-10 More than 24 Hours Inadequate Symptom Relief More than 24 Hours
Hospice 2014 50 47 13 13
Hospice 2015 46 27 17 22

Quality improvement initiatives are a critical tool in the ongoing effort to improve patient care at health care organizations. But without data, many QI initiatives would fail — or the problem behind them might never be detected. That’s why data, and the dashboards that present data in a comprehensible fashion, are essential for QI efforts to succeed.

In this activity, you will assume the role of a quality assurance analyst at St. Anthony Medical Center. You will be offered both a dataset that you can use to outline a quality improvement initiative, and input from stakeholders who can help you contextualize the data.

 Educational Goals

After completing the activity, you will be prepared to:

  • Analyze data to identify a health care issue or area of concern.
  • Outline a QI initiative proposal based on a selected health issue and supporting data analysis.
  • Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work–life quality.

 

 

 

Health Care Competition. Healthcare Papers. Healthcare Essays.

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A number of quantitative methods are utilized to make decisions and recommendations in health care. Quantitative methods are used to analyze and predict the demand for patient services, to determine capital expenditures for facility and technology enhancements, and to guide the manager in implementing quality controls. Whether or not you are familiar with quantitative methodologies, as a manager, you are responsible for the outcomes of implementing the decision based on the method used.

Your agency or institution has noted a negative trend in profitability for a diagnostic imaging cost center over the past 4 quarters.

As a manager, you need to make some recommendations to take to your board of directors to reverse the negative trend.

Your first priority is to find a quantitative method to help you in making decisions.

Complete the following:

Choose a quantitative method (e.g., the decision tree model).

Describe the model that you are using.

Outline at least 4 proposed solutions to your board of directors, and analyze the strengths and weaknesses of each with regard to return on investment, break-even analysis, improvement in patient demand, improved patient safety and quality, and so forth.

Summarize how the decision-making method helped you make objective recommendations to your board of directors.

EDI Electronic Data Interchange

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EDI Electronic Data Interchange

Imagine you are the office manager at a small doctor’s office. As the office manager, you are in
charge of educating new employees.
Write a 700- to 1,050-word reference guide describing electronic data interchange (EDI).
Your reference guide should:
Define EDI.
Explain how using EDI facilitates electronic transactions.
Explain how HIPAA has changed how health care information is transmitted in EDI.
Describe the relationship between Electronic Health Records, reimbursement, HIPAA, and EDI
transactions.
Cite a minimum of two outside sources according to APA guidelines. For additional information
on how to properly cite your sources, access the Reference and Citation Generator in the Center
for Writing Excellence.

Quality and Risk Management for Healthcare Paper

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PRESENTATION OF ASSIGNMENT

  • You should include a title page and list of contents.
  • Use headings and sub-headings to organize your report and include supporting material in the document file.
  • Number all pages sequentially.
  • Any published material you refer to should be properly referenced and included in a reference list at the end of your assignment (see Plagiarism notice overleaf).

Total Marks           / 40

PLAGIARISM

Plagiarism is a form of cheating, by representing someone else’s work as your own or using someone else’s work (another student or author) without acknowledging it with a reference. This is a serious breach of the Academic Regulations and will be dealt with accordingly. Students found to have plagiarised can be excluded from the program.

Plagiarism occurs whenever you do any of the following things without acknowledging the original source:

  • Copy information from any source (including the study guide, books, newspapers, the internet)
  • Use another person’s concepts or ideas
  • Summarise or paraphrase another person’s wor

How do I avoid plagiarism?

To ensure you are not plagiarising, you must acknowledge with a reference whenever you:

  • use another person’s ideas, opinions or theory
  • include any statistics, graphs or images that have been compiled or created by another person or organization
  • Paraphrase another’s written or spoken wor

What are the penalties?

The penalties for plagiarism are:

  • Deduction of marks,
  • A mark of zero for the assignment or the unit, or
  • Exclusion from the program.

Plagiarism is dealt with on a case-by-case basis and the penalties will reflect the seriousness of the breach.

Please note: claiming that you were not aware of need to reference is no excuse.

Answer the following.

 PART 1

  • Some ill patients get better despite nursing care, not as a result  of it. the quality of nursing affects patient outcomes tremendously.  do you believe that quality nursing care makes a difference in patients’ lives? identify five criteria you would use to define “quality nursing care.” these criteria should reflect what you believe nurses do that makes the difference in patient outcomes. are the criteria you have selected measurable? how?

Write a well developed response and provide evidence to support your response.

  • Describe selected qualitative measures of quality used in your facility. how is the data collected, analyzed, and then used in improving patient care? does the quality of your patient care fall within the parameters established as a result? is your patient care always as high as you would like it to be? what factors affect this quality? which ones can you control?  in your clinical experience what are the things that have affected the quality of care provided? how?

Write a well developed response and provide evidence to support your response.

  • The purpose of this assignment is to develop a risk management plan or program that can be utilized in any health care setting. identify the key elements in a risk management plan.

Address elements that are crucial to the minimization of financial loss.

Develop a program to reduce the incidence of preventable accidents and injuries.

Include a description of the interaction between quality and risk management. this may    include, but not be limited to, a description of a process improvement goal or a quality improvement plan.

______________________

PART 2

  1. The concept of “quality” has evolved to mean far more than the integrity of a manufactured product. Quality now represents a philosophy, a system of methodologies and practices, and an ongoing commitment to business excellence that encompasses all issues – and engages all individuals – within an organization. Based on the comment enumerate the evolution of awareness of quality in healthcare among the public.?
  2. Quality health care is defined as “the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge..According to the Institute of Medicine (IOM) report, the majority of medical errors result from faulty systems and processes, not individuals. Processes that are inefficient and variable, changing case mix of patients, health insurance, differences in provider education and experience, and numerous other factors contribute to the complexity of health. Highlight the principles that are essential for promoting Quality of care.?
  3. Write down the respondents’ perception regarding the forms of redress available to them in the event of harm by healthcare in their own country or another member state.?
  4. Quality management can be thought of as the process of designing and executing products and services effectively, efficiently, and economically. In this context, effectiveness primarily involves the ability of the products and services to meet or exceed customers’ expectations, while efficiency involves the ability to provide products and services without wasting any resources. Risk management is the process of identifying, addressing, prioritizing, and eliminating potential sources of failure to achieve objectives. Based on your perspective, how have risk management and quality evolved?
  5. Give a detailed note on quality improvement tools in Health care?
  6. For healthcare providers, there is perhaps no word that elicits as much confusion, fear and anger as “malpractice. Medical malpractice is “improper, unskilled, or negligent treatment of a patient by a physician, dentist, nurse, pharmacist, or other healthcare professional. Summarize some of the major influences that often lead to claims of malpractices?
  7. Risk management is important for all types of organizations, but it’s especially important in healthcare because human lives might be on the line. A good healthcare risk management plan can reduce patient health risks as well as financial and liability risks. List out – Risk management DOs and DON’Ts. ?

 

 

 

Health Promotion Plan Presentation. Nursing Assignments

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Instructions: Health Promotion Plan Presentation

Top of Form

Bottom of Form

  • PRINT
  • Build a slide presentation (PowerPoint preferred) of the hypothetical health promotion plan you developed in the first assessment. Then, implement your health promotion plan by conducting a hypothetical face-to-face educational session addressing the health concern and health goals of your selected group. How would you set goals for the session, evaluate session outcomes, and suggest possible revisions to improve future sessions?

As you begin to prepare this assessment, you are encouraged to complete the Vila Health: Conducting an Effective Educational Session activity. The information gained from completing this activity will help you succeed with the assessment as you consider key issues in conducting an effective educational session for a selected audience. Completing activities is also a way to demonstrate engagement.

Note: All assignments in the course are based upon hypothetical individuals or groups.

Professional Context

Health education is any combination of learning experiences designed to help community individuals, families, and aggregates improve their health by increasing knowledge or influencing attitudes (WHO, 2018). Education is key to health promotion, disease prevention, and disaster preparedness. The health indicator framework identified in Healthy People 2020 helps motivate action in such areas as health service access, clinical preventive services, environmental quality, injury or violence, maternal, infant and child health, mental health, nutrition, substance abuse, and tobacco use.

Nurses provide accurate evidence-based information and education in various formal and informal settings. They draw upon evidence-based practice to provide health promotion and disease prevention activities to create social and physical environments conducive to improving and maintaining community health. When provided with the tools to be successful, people demonstrate lifestyle changes (self-care) that promote health and help reduce readmissions. They are better able to tolerate stressors, including environmental changes, and enjoy a better quality of life. In times of crisis, a resilient community is a safer community (ODPHP, n.d.; Flanders, 2018).

This assessment provides an opportunity for you to apply teaching and learning concepts to the presentation of a health promotion plan.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 3: Evaluate health policies, based on their ability to achieve desired outcomes.
    • Evaluate educational session outcomes in terms of progress made toward Healthy People 2020 goals and leading health indicators.
  • Competency 4: Integrate principles of social justice in community health interventions.
    • Evaluate educational session outcomes and the attainment of agreed-upon health goals in collaboration with participants.
  • Competency 5: Apply professional, scholarly communication strategies to lead health promotion and improve population health.
    • Present a health promotion plan to an individual or group within a community.

References

U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion (ODPHP). (n.d.). Healthy People 2020. Retrieved from https://www.healthypeople.gov/

Flanders, S. A. (2018). Effective patient education: Evidence and common sense. Medsurg Nursing, 27(1), 55–58.

Note: This is the second part of a two-part assessment. You must complete Assessment 1 before completing this assessment.

Preparation

This assessment builds upon Assessment 1 where you developed a health promotion plan for a hypothetical individual or group based on a topic list. You will resume the role of a community nurse tasked with addressing the specific health concern in your community. This time, you will present, via educational outreach, the hypothetical health promotion plan you developed in Assessment 1 to your chosen individual or group. In this hypothetical scenario, the presentation would be live and face-to-face. You must determine an effective teaching strategy, communicate the plan with professionalism and cultural sensitivity, obtain input on the value of the plan to the individual or group, and revise the plan, as applicable, to improve future educational sessions. To engage your audience, you decide to develop a PowerPoint presentation with voice-over and speaker notes to communicate your plan.

Remember that your first assessment (Assessment 1) MUST be satisfactorily completed to initiate this assessment (Assessment 4).

Please review the assessment scoring guide for more information.

To prepare for the assessment, you are encouraged to complete the Vila Health: Conducting an Effective Educational Session simulation. You may also wish to review the health promotion plan presentation assessment and scoring guide to ensure that you understand all requirements.

Note: Remember that you can submit all, or a portion of, your draft plan to Smarthinking Tutoring for feedback before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.

Instructions

Complete the following:

  1. Hypothesize what a face-to-face educational session would consist of, addressing the health concern and health goals of your selected community member, friend, family member, or group. Imagine collaborating with the hypothetical participant(s) in setting goals for the session, evaluating session outcomes, and suggesting possible revisions to improve future sessions.
  2. Prepare a PowerPoint presentation, which should include audio-recorded voice over, of the health promotion plan you developed in Assessment 1, with detailed speaker’s notes that include your evaluation of session outcomes. Speaker notes should reflect what you would actually say were you to conduct the presentation with an actual audience.

As you begin to prepare this assessment, you are encouraged to complete the Vila Health: Conducting an Effective Educational Session activity. The information gained from completing this activity will help you succeed with the assessment as you consider key issues in conducting an effective educational session for a selected audience. Completing activities is also a way to demonstrate engagement.

PRESENTATION FORMAT AND LENGTH

You may use Microsoft PowerPoint (preferred) or other suitable presentation software to create your presentation. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues.

The number of content slides in your presentation is dictated by nature and scope of your health promotion plan. Be sure to include title and references slides per the following:

  • Title slide:
    • Health promotion plan title.
    • Your name.
    • Course number and title.
  • References (at the end of your presentation).
    • Be sure to apply correct APA formatting to your references.

The following resources will help you create and deliver an effective presentation:

SUPPORTING EVIDENCE

Support your plan with at least three professional or scholarly references, published within the last 5 years, which may include peer-reviewed articles, course study resources, and Healthy People 2020 resources.

GRADED REQUIREMENTS

The requirements outlined below correspond to the grading criteria in the assessment scoring guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.

  • Present your health promotion plan to your hypothetical audience.
    • Tailor the presentation to the needs of your hypothetical audience.
    • Adhere to scholarly and disciplinary writing standards and APA formatting requirements.
  • Evaluate educational session outcomes and the attainment of agreed-upon health goals in collaboration with participants.
    • Which aspects of the session would you change?
    • How might those changes improve future outcomes?
  • Evaluate educational session outcomes in terms of progress made toward Healthy People 2020 goals and leading health indicators.
    • What changes would you recommend to better align the session with Healthy People 2020 goals and leading health indicators?

 

An Analysis on the Concept of End of Life Decisions and Care

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This is a research paper you will be writing on the concept of end of life decisions and care in the State of California. This research paper MUST be a minimum of 8 pages – not counting cover, references, and exhibits page.

——————Begin Writing Prompt————

End- of -life issues are one of the top ethical and legal issues that health professionals will face in the 21st century.

Write a research paper that will analyze the concept of end-of- life decisions and care. Your research paper needs to include the following: 1. Introduction on the current state of end of life decisions and care in California and how this will be the top ethical and legal issues that health professionals will face in the 21st century. Provide examples of current case studies.

2. Discuss laws in the State of California regarding end -of -life decisions and care. Describe the current laws in detail.

3. Discuss “consent” in end-of-life decisions and care. Provide examples for illustration purposes.

4. Discuss whether healthcare ethics or institutional review boards participate in end-of –life decision and care issues. Discuss examples. 5. Discuss the role of government including HIPAA in end-of- life decisions and care.

Discuss what is HIPAA and how it relates to end of life decisions and care.

Provide examples.

—————-End Writing Prompt—————

Additional Important Instructions:

-Your answers/responses must be based on the reading materials listed in the attached filed, titled, “reading materials.”

-You must use a minimum of 10 sources, at least 8 of the 10 minimum sources must come from the list of “reading materials” attached to this order.

-Your answer to this writing prompt MUST be based on the readings from the attached, “reading materials.”

-You are welcome to use your own sources, but at least 8 of your sources must be from the list, titled, “reading materials.”

-Additionally, you must use at least three peer reviewed journal articles in your paper.

-Make sure you are answering ALL parts of the question prompts.

-To make sure you are covering all the required materials, please use sub-headings in your paper. This will also help your paper “flow” better.

-Make sure you are citing your references appropriately, per APA guidelines, both in-text and on the reference page.

-You must use at least 3 exhibits in your paper

– this could be a chart or graph, or whatever you think would help the paper.

You must refer to these three exhibits in your paper and make sure these “exhibits” are displayed in your “exhibits” page (at the end of your paper, after the references page).

Writing expectations include competency in the following:

-Sentence Structure

-Verb Tense and Agreement

-Pronoun Use

-Possessive Use

-Punctuation

-Spelling

-Focus and Organization

-Thesis Statement & Conclusion

-Please do not forget to use sub-headings to make sure you are covering everything that is required!

Please be very, very detailed in your responses to make sure you cover each topic extensively!

Provide examples for each required topics/discussions.

-Please do not forget to use at least 3 exhibits in your paper to help you make your case/point.

“Exhibits/Artifacts” should be in the “exhibits page” and not part of the minimum 8 pages of text.

Although, you should refer to it in your paper.

-Must be double-spaced with 1-inch margins and typed in 12-point Times New Roman.

-Your Essay should have a Cover Page, References page, and Exhibits Page.

-Essays should be proofread for spelling and grammar mistakes.

-Essays should be in APA style.

-You must cite all texts used, including page numbers to avoid plagiarism.

-Your essay must have a thesis statement and conclusion that are both supported by research and analysis.

Adaptive Reuse

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M3 Practitioner Application-Adaptive Reuse
Your M3 Practitioner Application will require devoted inquiry, assimilation, reflection, and
refinement in order to achieve the highest possible score. Specifically, you are to take the
scenario listed below, address it in full, and submit your work in accordance with the instructions
contained herein. Importantly, this is an independent assignment to be completed by you and
you alone.

Your M3 reading assignments include an article on adaptive reuse (see “Adaptive Reuse in the
Healthcare Industry: Repurposing Abandoned Buildings to Serve Medical Missions”), a practice
which has vast implications for healthcare strategy. It also represents a very good opportunity for
you to leave your “desks” and get out into the field to explore possibilities. Here’s the scenario:
A dentist desires to establish a clinic in or around your given marketplace and he has reached
out to you for assistance. He will serve as the sole dentist within the given clinic and he will offer
the customary array of services available at most any general dentistry practice. The dentist
desires operational efficiency and also takes opportunities where possible to make
environmentally responsible decisions. Having learned of adaptive reuse, he enlists you to
search the local marketplace seeking abandoned and available commercial buildings which
might be able to be converted into a dental practice through adaptive reuse. Your mission is to
identify three potential adaptive reuse candidates in your area, identifying their physical address,
describing them in detail, and ranking their potential to be converted successfully. The
candidates must be actual commercial properties which currently are for sale, so best to consult
commercial real estate websites and conduct good old-fashioned, boots-on-the-ground
investigations to identify prospects. Feel free to supply links in your text to real estate listings, if
available, or other resources to identify your selected candidates. If no such properties exist in
the immediate market, expand its boundaries until you find accommodations meeting desired
specifications.
Note that in the real world, a project such as this would represent quite the undertaking, requiring
possession of an extensive array of information (e.g., spatial needs, financial resources
available, location preferences, etc.). Such rich detail (and the time needed to make use of it)

isn’t available due to obvious course parameters, but you certainly have sufficient time to perform
a cursory examination within your local marketplace for purposes of identifying a few potential
candidates. That’s exactly what you must do, and through this, you’ll have a better understanding
of adaptive reuse.
The Submission Requirement
Attachments of any kind are prohibited and will carry no points value. Your submission must be
supported by 4 (minimum) to 10 (maximum) references, with at least 3 being from scholarly
academic journals. References may be prepared using the style guide of your choice (APA,); just
be sure to consistently use the selected style.
In presenting your work, identify the title, your name and student ID number, and submission
date at the top of your submission and supply the following sections, exactly as they appear
below, placing each heading in bold text:
• Introduction
• Adaptive Reuse Candidates
o Candidate 1
o Candidate 2
o Candidate 3
• Conclusions (one paragraph; summarize your candidate rankings here)
• References

Understanding the Health Care Professional

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As a healthcare professional, you will be working closely with other health care professionals.
The best way to create a positive patient experience is to be able to understand the role that
each healthcare professional plays in the care of a patient. For this assignment, select two of the
following allied health professions (physician, dentist, pharmacist, nurses, advance practice
nurse, or health services administrator) and take a deeper look into their specific functions and
contributions to health care.
In a paper of 750-1,000 words please discuss the following:

What is their function/medical training?
In what type of setting can each profession be found traditionally? Is this changing today?
Discuss how the expanding roles of allied health in health care delivery have affected each
profession.
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Curbing the Medical Imperative

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Please answer to this two questions in two different pharagraph.
(Being mortal, Chapter 6, Letting Go)

1. Gawande speaks of “curbing the medical imperative.” (pg 149) “When should we try to fix, and when should we not? “How would you answer the same question?
2. Why do you think it’s so difficult for doctors/nurses and/or family to refuse or curtail treatment?

Please use attached textbook as your source.