Discuss and explain King’s Conceptual System Theory

This week you will be writing an APA paper to include a title page, level headings, and a reference page

  1. Discuss and explain King’s Conceptual System Theory.
    1. First explain the 3 systems and provide examples of each system
    2. Explain how the systems influence goal attainment
    3. How could King’s theory help define a clinical quality problem?
    4. Apply this theory to a potential practice quality improvement initiative within your clinical practice.
    5. How could a quality committee align outcomes with King’s Conceptual System Theory?
    6. What additional nursing theory from our readings could also align with an improved quality of practice initiative?

This paper should include 2 outside references and the textbook. This paper should be 1250 to 1500 words in length.

quality measure

 
Assignment 
Must be in 12 point, Times New Roman with 1” margins. Length should be approximately 3 pages double spaced (excluding Title Page, Abstract page and References page) including your summary paper of research and your QAPI worksheet. Must follow all APA format requirements.
All questions must be responded to.
Reading:
Go to the Centers for Medicare and Medicaid Services (CMS) website and read about QAPI (Quality Assurance Process Improvement) http://www.medicare.gov/NursingHomeCompare/About/What-Is-NHC.html and the 5 elements of QAPI. These elements can also be found on the Joint Commission for Accreditation website at http://www.jointcommission.org/assets/1/6/Crosswalk_TJC_QAPI_ncc.pdf
Assignment 1 Directions:
Use the same nursing facility you selected for Discussion Board 1 on the CMS Nursing Home Compare website (http://www.medicare.gov/nursinghomecompare/search.html).
For your chosen facility, select either 
A.) an inspection result health deficiency OR 
B.) a quality measure that is rated below the quality average for Kentucky or National.
*Note: I have provided an example of both Option A and Option B at the end of this document to help you understand what I am asking you to do.
1. Provide the name and location of the facility you selected.
2. Provide detail on what quality measure you have selected.
3. Provide a weblink to the quality measure you have selected.
4. Research: find at minimum of 2 full article references on Google Scholar that provide history or recommendations relative to the quality measure you selected. For example, you might choose residents that experienced pain as your quality measure to improve upon because your nursing home has a higher than average rating for that quality measure
You can find articles that talk about pain levels of residents, how to determine pain for non-communicating residents, alternative methods to pain reduction, etc. Summarize and cite these sources in 1-2 pages and how that information was utilized and beneficial to development of your QAPI Goal Setting Worksheet.
5. Utilizing the measure that you selected, complete a QAPI Goal Setting Worksheet for quality improvement. Your Goal Sheet should result in either no deficiencies on the next inspection process or improved quality rating percentage for the facility.
*Your goals/action plans must be REALISTIC!!!! Do not put that you will do a daily audit every shift of with every staff member because you cannot possibly do that unless within your document you state staff that will assist you in that process. Again, think about if what you have put is REALISTIC or not.

hospital community

1-DQ 1 I think a hospital community day in schools is a great idea! When I was in high school, universities would come give presentations and provide information for us to consider choosing them for college and in turn, some had succeeded in “recruiting” some of my classmates. I imagine there may be hospitals or health care facilities that do this but if there were an increase in number of them and greater outreach, this could lead to enlightment for students and could in turn mend the nursing shortage problem we have today.
2-Observing that many persons do not use social media is true and this points to the the fact that nurses’s attitude and behaviour towards the profession and populace contibutes to the public image of the profession. The impression people have of us is directly related to our actions and inactions.
3-Very good discussion post!  In the largely negative world of television drama as it depicts nursing, I like how you found some instances that do have some positive views on nursing.  I also like how you found an organization that promotes the nursing profession in light of the widely popular media portrayals.  I find that while the medical television dramas that are on today are intriguing, they are typically wrong in the portrayal of the health care field and it is important to have accurate information available.  I myself like to watch the shows and tell the t.v. when they are wrong!

Health Care Operation And Quality Assessment Paper

Unit outcomes addressed in this Assignment:

  • Assess quality and techniques for improving quality and safety.

Course outcome addressed in this Assignment:
HA540-3: Research methods of assessing quality and techniques for improving quality and safety
Instructions:
In this assignment, you will be researching dimensions of quality and safety in healthcare, specifically long- term care, and how various industries can apply these concepts to improve operations.

  • Using the Medicare Nursing Home Compare website, research one nursing home that displays a low level of quality as indicated by their Five Star Rating*
    • The nursing home should display a low level of quality (-2 star rating)
    • The nursing home should display a low level of safety
  • Provide a general overview of the nursing home (e.g., name, location, bed size, ownership, etc.)
  • Discuss the quality performance of the nursing home as evident by its most recent health care inspection (e.g., deficiencies, citations, financial penalties, etc.). This can be accomplished by thoroughly reading the nursing home’s statement of deficiencies and plan of action to correct quality deficiencies (CMS Form 2567).
  • Discuss the safety performance of the nursing home as evident by its most recent life safety inspection (e.g., life safety citations, financial penalties, etc.). This can be accomplished by thoroughly reading the nursing home’s life safety code statement of deficiencies and plan of action.
  • Discuss appropriate techniques that you would use to improve quality in the nursing home.
  • Discuss appropriate techniques that you would use to improve safety in the nursing home.
  • Be sure to include details about the deficiencies that you found.
  • Report your findings by using the methods below:
    • 3-4 page paper excluding front and back matter (APA standards apply).
  • This paper is worth 250 points!

PLAGIARISM IS HIGHLY UNACCEPTABLE!

Rate Of Return For Stocks And Bonds

Purpose of Assignment
The purpose of this assignment is to allow the student an opportunity to calculate the rate of return of equity and debt instruments. It allows the student to understand the effects of dividends; capital gains; inflation rates; and how the nominal rate of return affects valuation and pricing. The assignment also allows the student to apply concepts related to CAPM, WACC, and Flotation Costs to understand the influence of debt and equity on the company’s capital structure.
Assignment Steps
Resources: Corporate Finance
Calculate the following problems and provide an overall summary of how companies make financial decisions in no more than 700 words, based on your answers:

  1. Stock Valuation: A stock has an initial price of $100 per share, paid a dividend of $2.00 per share during the year, and had an ending share price of $125. Compute the percentage total return, capital gains yield, and dividend yield.
  2. Total Return: You bought a share of 4% preferred stock for $100 last year. The market price for your stock is now $120. What was your total return for last year?
  3. CAPM: A stock has a beta of 1.20, the expected market rate of return is 12%, and a risk-free rate of 5 percent. What is the expected rate of return of the stock?
  4. WACC: The Corporation has a targeted capital structure of 80% common stock and 20% debt. The cost of equity is 12% and the cost of debt is 7%. The tax rate is 30%. What is the company’s weighted average cost of capital (WACC)?
  5. Flotation Costs: Medina Corp. has a debt-equity ratio of .75. The company is considering a new plant that will cost $125 million to build. When the company issues new equity, it incurs a flotation cost of 10%. The flotation cost on new debt is 4%. What is the initial cost of the plant if the company raises all equity externally?

Submit your summary and all calcluations.

Describe a real-life team scenario related to quality

a. Describe a real-life team scenario related to quality. Describe the type of team it was, its purpose, and the team roles. Describe the functioning of the team, the results, and how the functioning and/or results might have been improved.
b. Summarize the Kirkpatrick Model.
c. Identify a real training need related to quality (remember the industrial-technical focus if you can) and outline the training plan to meet that need.

Corporate Finance, Ch. 20: Raising Capital

FINDQWK6

Corporate Finance, Ch. 20: Raising Capital
1. Describe the stages in venture capital financing.
2. Explain the methods used to issue new securities.
3. Explain the role of investment banks in the underwriting process.

Corporate Finance, Ch. 26: Short-Term Finance and Planning
1. Describe the uses and sources of cash.
2. Describe the characteristics of the operating cycle and the cash cycle.
3. Explain how the cash budget is used in short-term financial planning.
Corporate Finance, Ch. 28: Credit and Inventory Management
1. Identify the three elements which make up the terms of sale.
2. What factors influence when credit should be granted and the length of the credit period offered to customers?

Teams and training

 
If I provide a lecture or essay associated with a topic or assignment, I like to discuss nuances or angles not apparent in the reading materials. You probably know that in the real world things are almost always more complicated than in a book or in school. What you may not realize is that what you know about the real world is not nearly as complicated as it really is. In providing insights about the complexities of things I am not trying to wow you or bury you trivia. I am trying to prepare you for when things are not, or do not work out, as expected. My favorite Yogi Berra quote is in theory, theory and practice are the same, in practice they are not.
Teams
The word team is overused, i.e., saying something is a team doesn’t make it so. A work gang may or may not be a team. A mere collection of persons does not make a team any more than a collection of coins makes a team. A team implies a certain level of necessary interpersonal cooperation and interaction. Sports teams provide very good examples. Note that the players on a basketball team have different talents and roles and all those roles are needed. A team of five centers is not a very good team. The coaches, locker room attendants, etc. associated with a team are really not part of the playing team; they are support (and may or may not be a support team). Five workers stripping shingles of a house are not a team if they are all doing the same job (or if adding or subtracting a couple of workers doesn’t alter what the other workers do). Neither a mere aggregate of rocks nor people are a team. Roles within a team can be repeated but if there are not identifiable roles, there is no team. To be a team, there must be a certain amount of team member autonomy. If you are playing with dolls or toy soldiers, those toys are not a team. If employees only do what they are told, when they are told, how they are told, they are probably not a team. Even when there are various roles and individuals have some autonomy and fulfilling their roles, there is not team without a certain level of shared purpose and action. A team is like a system. Think of the human circulatory system. The heart, lungs (two team members with the same role), and other parts work in concert. The members of the basketball team cannot merely have their individual roles and make individual decisions. Lastly, turn work or piece work is not team work. Let’s assume student A does this bit of a project and student B does that bit of a project, then student C puts the bits together, then student D presents the bits in class. That is not team work.
Training
For the most part, training and education are interchangeable. People make differences between training and education based on the purpose, who is getting trained/educated, and other factors. Usually, training is said to be more specific and of immediate use. Whereas, education has a lifelong focus is applicable to many situations. I think that these are spurious distinctions. For training or education, there is going to be some mix of generalizable theory (that will pretty much stay the same throughout your life and be applicable to different situations) and specific tools (techniques, behaviors) that can be use immediately for a specific task.
Basic problem solving describes the major steps of training. These steps can be stated in dozens of flowcharted nodes or in as little as three.
1. Decide what training needs to be done. This implies some sort of needs assessment and problem statement to identify the gap between what the person knows (or can do, etc.) and what they should know.
2. Deliver the training. This includes designing the training and all the steps of delivering it.
3. Evaluate the training to see if it closed the problem gap, i.e., the person now knows what they need to, can do what they need to.
Kirkpatrick’s Model focuses on the evaluation and includes the following.
· Reaction. The trainee’s change in the affective domain, i.e., their attitude and perceptions.
· Learning. The trainee’s change in cognitive domain, i.e., their knowledge.
· Behavior. The trainee’s change in psychomotor domain, i.e., their behavior.
· Results. The change in organizational output. For me, this is the most important. If the person changed a lot (in a good way, as intended) but the origination didn’t change (quality, efficiency, safety, whatever), the training was a waste of organization resources.

Note that without change, no learning took place. Training/teaching (as an activity by a trainer) may have taken place, but no one was trained/learned. Working backwards, what change was needed? #1 above; the identified problem gap. To not first specify the problem that training hopefully can cure is like deciding everyone needs insulin injections without a diagnosis. All too often, managers jump to the medication (the training) conclusion without a proper diagnosis. Often they are talked into the training by someone selling it (or by peer pressure, or conventional wisdom, e.g., everyone else is doing it). Like any project and plan, there needs to be a problem statement, rationale, needs analysis, cost-benefit analysis, etc. for the training. Then the training needs delivered. If you do not evaluate the results of the training, you cannot know if problem was solved. In case you thought of it, yes, as a problem solving process, training can follow the DMAIC steps.

Initial Post

See the general assignment instructions for information about the quality and quantity expectations and evaluation criteria.

III. Teams and training.

a. Describe a real-life team scenario related to quality. Describe the type of team it was, its purpose, and the team roles. Describe the functioning of the team, the results, and how the functioning and/or results might have been improved.

b. Summarize the Kirkpatrick Model.

c. Identify a real training need related to quality (remember the industrial-technical focus if you can) and outline the training plan to meet that need.

Do not copy anything from the internet or any other source to complete the assignment. Use information from your life and experiences.

If you have never personally been on a team that had something to do with quality you can use a team that you were not personally on but knew about. Note that the team might have had something to do with quality, e.g., a basketball team, but not focused only on quality. Note that the group might not have been labeled a team.

Similar to the preceding paragraph, the training need must be something you have witnessed and experienced. You might or might not be someone who needs the training, e.g., you might have received or witnessed poor service that could be corrected with training.

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