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Write a 4–6 page preliminary program and stakeholder analysis for a human service program.Every government administration spends millions of dollars on social programs. Some are meaningful and successful; others are not. Program evaluation is a key activity for making programs effective and sustainable. All your assessments in this course will be based on one social program of your choice.SHOW LESSIt is important to bear in mind that programs do not exist without people; they serve people and are carried out by people, and beyond those directly involved, other people are mainly interested in program outcomes. Collectively, we call all these people ‘stakeholders.’ They bring a variety of interests, opinions, capacities, and functions that can impact programs in many ways. Program evaluators must win the cooperation of stakeholders to gather needed information and implement the evaluation process. And evaluators must take stakeholders’ interests into account so they will ‘buy in’ to the evaluation outcomes. Therefore, evaluators need to understand stakeholders and how to skillfully manage interpersonal dynamics throughout the evaluation process.By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:Competency 2: Manage interpersonal dynamics of the program evaluation process.Analyze interests of stakeholders involved with an evaluation.Plan how to facilitate communication and collaboration with stakeholders.Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations for members of the psychological professions.Write clearly, with correct spelling, grammar, syntax, and good organization.Comply with APA guidelines for style and formatting.In this assessment, you will be in the enviable position of choosing your own client—you will choose one social program on which all your assessments for this course will be based. In a later assessment, you will propose an evaluation for this program, but before you do, it is necessary to make a stakeholder analysis to determine who has interests in the program, what they desire for its outcomes, and any concerns they may have. This will help you, as the evaluator, to understand the audience for your proposal and how to best communicate with them.Preparation: Identify and Research Your ClientIdentify a human service program to work with in this course. All your course assessments will be based on one social program of your choice. Choose a program involved with issues such as unemployment, economic disadvantage, homelessness, adolescent pregnancy, infant mortality, crime, domestic violence, child abuse, substance abuse, mental illness, literacy, hunger, disease control, et cetera. It would be best to choose a program that is active in your own community. If you work with such a program, you may select it for your course work. Remember, you will be using this program for purposes of evaluation.Go to the Web site of the agency that administers the program to research basic information about it. Choose a program that discloses most required information. However, if some details cannot be found, for the purposes of assessments in this course it is permissible to infer plausible findings.Important note: While it is ethical to invent some information to complete these learning experiences, never do this for professional work or assessments that are supposed to be based on factual research.InstructionsTo successfully complete this assessment, write a 4–6 page program description and stakeholder analysis. This will be an internal planning document; its purpose is to gather information that you would share with other evaluators on your team.Program DescriptionDescribe the program of your choice and discuss why you selected this particular program. Answer the following:What population (or populations) does the program seek to serve?What is the general history of the program?What are the main goals of the program? What would be recognized as operational definitions of ‘success’ or ‘successful outcomes’ for the program? Analyze what the desired benefits of the program would be for each type of program participant.How could these outcomes be measured?What sorts of evaluative research could be undertaken to assess how well the program meets its goal?What other questions would you like to have answered about the program?Stakeholder AnalysisDescribe all program participants and other stakeholders. Think broadly to include all who could be involved at any level, including not only direct participants but also administrators and perhaps political authorities and others who would have a stake in program outcomes.What are their roles and functions?Detail how you would plan to facilitate communication and collaboration with them. (Readings in King and Stevahn’s 2013 book Interactive Evaluation Practice: Mastering the Interpersonal Dynamics of Program Evaluation are highly recommended for this.)Despite the fact that it is beyond the scope of this assessment to actually meet with program stakeholders, what do you think the answers to following would be for each of the stakeholders you identified? Please keep in mind that while it is expedient for you to imagine the answers to these questions for this exercise, in an actual program evaluation it would extremely important for you consult with the stakeholders to research the answers to these questions.Might there be any possible conflicts of interest among different types of stakeholders?What risks or unfavorable outcomes might they be concerned about?What are their desired outcomes from the program?On the basis of the answers that you arrived at, what interpersonal or political considerations should you take into account to assure your program evaluation would be effective and appreciated?Additional RequirementsYour assessment should meet the following requirements:Written communication: Written communication is well organized and free of errors that detract from the overall message.APA style: Comply with current APA style and formatting.Number of references: Minimum of three academic resources.Length: Submission includes 4–6 typed, double-spaced pages, in addition to a cover page and references page.Font and font size: Times New Roman, 12 points.

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1. Describe at least two examples of common errors in entity relationship modeling. If possible, provide a graphical illustration of the problems and solutions. List some questions the designer should consider before designing the models so that these errors can be avoided.

2. Using library resources or the Internet, locate an entity relationship diagram (ERD) utility that can be used to create graphic database designs. Provide a general description about the company that produces the tool. Mention the ER modeling techniques offered by the tool and the database products that it supports. Discuss other features that might make this an attractive product to a database designer and explain why.

 
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Discuss the importance of advocacy as it pertains to patient care. What is the nurse’s role in patient advocacy? Describe a situation in which you were involved with patient advocacy. Explain what the advocacy accomplished for the patient, and what the repercussions would have been if the patient would not have had an advocate.

 
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A 38-year-old woman presents to the office with complaints of weight

loss, fatigue, and insomnia of 3-month duration. She reports that she has

been feeling gradually more tired and staying up late at night because

she can’t sleep. She does not feel that she is doing as well in her occupation

as a secretary and states that she has trouble remembering things.

She does not go outdoors as much as she used to and cannot recall the

last time she went out with friends or enjoyed a social gathering. She

feels tired most of the week and states she feels that she wants to go to

sleep and frequently does not want to get out of bed. She denies any

recent medication, illicit drug, or alcohol use. She feels intense guilt

regarding past failed relationships because she perceives them as faults.

She states she has never thought of suicide, but has begun to feel increasingly

worthless.

Her vital signs and general physical examination are normal, although

she becomes tearful while talking. Her mental status examination is significant

for depressed mood, psychomotor retardation, and difficulty attending

to questions. Laboratory studies reveal a normal metabolic panel, normal

complete blood count, and normal thyroid functions.

➤ What is the most likely diagnosis?

➤ What is your next step?

➤ What are important considerations and potential complications of

management?

Note: bibliographic references updated and with a very low plagiarism index.

 
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Mr. James is a 62 year old male in a primary care practice being seen for a health maintenance visit (last visit was over 10 years ago).  His only complaint of note is fatigue but generally feels well.  He denies any limitations in “doing the things I like to do”, including yard work and fishing.  He works full time as a supervisor for a commercial construction company.  He is married and has 2 daughters.  His oldest daughter is expecting their first grandchild.

He has a history of “recreational” IV drug use when he was in his early 20s while he was in the military.  Denies any drug use since that time.  He indicates “minimal” alcohol use – generally no more than 2-3 beers or glasses of wine a week.  He has no chronic illnesses and does not take any medicines on a regular basis.

Physical exam:

Vitals: 38.1-97-18-183/139

Normocephalic.  Alert & Oriented x3.

Eyes: PERL. No nystagmus, no icterus.

Neck: Supple, no cervical lymphadenopathy

Cardiovascular: Normal Rate and rhythm. No murmur, gallops. 2+/4+ radial, brachial, dorsalis pedis pulses bilaterally. No jugular venous distension.  No edema.

Pulmonary: Lungs are clear. No dyspnea or orthopnea.

Abdomen: Soft and nontender, active bowel sounds. No liver enlargement; abdomen flat. No striae.

Skin: Warm and dry; no rashes.  Multiple tattoos on both arms.

Rectal exam: Stool is brown, no rectal masses.

Lab results:

CBC:  WBC 9,000; RBC 5.10; Hemoglobin 15.3 g/dL Hematocrit 46%; MCV 90; Platelets 152,000.

Electrolyte Panel:  Sodium  136 mEq/L; Potassium 3.7 mEq/L; Creatinine 1.1 mg/dL; BUN 12 mg/dL;  Glucose 115mg/dL

Alanine aminotransferase (ALT) 36

Aspartate aminotransferase (AST) 50

Bilirubin (total) 0.9 mg/dL

Hepatitis A IgM negative; IgG positive

Hepatitis B surface antigen negative; surface antibody positive; core antibody negative

Hepatitis C (HCV) antibody reactive (positive), Hepatitis C RNA positive with an undetectable viral load.

APA Format

Information is presented in a scholarly manner (clear, grammatically correct) and reflects synthesis of information from sources.  APA format is correctly used for citations and references. Submission follows assignment guidelines; does not exceed page limit (6 pages, excluding title and reference pages). (15 pts)

UTA Title page (5 pts)

Respond to the following questions regarding the Case Study

1. The clinical scenario is most consistent with which type of hepatitis? Please list your answer below using a bullet point format.  This does not have to be in a complete sentence.  A citation is not required. (10 pts)

2. What specific data in the clinical scenario supports your diagnosis? You may list your answers below using bullet point format.  This does not have to be in a complete sentence. A citation is not required. (10 pts)

3. What is the most likely cause of this patient’s diagnosis you noted in Question 1? You may list your answer below using a bullet point format. This does not have to be in a complete sentence.  A citation is not required. (10 pts)

4. Describe key pathophysiologic concepts that relate to the diagnosis in question 1. To answer this question completely, you must answer all of the sub-questions below using complete sentences. Each sub-question may be answered in 1-6 sentences.  ***Citations are required for each answer to each question using APA format.  You MAY NOT use direct quotes.

a. How does Hepatitis lead to an increased risk of hepatocellular carcinoma?  Describe how the virus affects the hepatocytes and may lead to cancer.  ( 10 pts)

b. How does Hepatitis lead to cirrhosis of the liver?  Describe the pathologic steps of how cirrhosis develops and how cellular changes can lead to liver failure.  ( 10 pts)

c.  One of the negative sequela of liver failure is increased bleeding.  Why do individuals with liver failure experience potentially life threatening bleeding?  Describe how liver failure leads to coagulopathy. ( 10 pts)

d.  Portal hypertension is also a negative sequela of liver failure.   Describe how liver failure leads to portal hypertension AND how portal hypertension manifests.  (10 pts)

5. Mr. James is concerned that he will transmit the virus to his new granddaughter after she is born.

What is the likelihood of transmitting the virus to his granddaughter?  Provide a single sentence that includes your rationale.  A citation is not required.  (10 pts)

 
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For this assignment: (attached is a sample) You will write a letter of advice to either a newly engaged couple or a group of coworkers. Imagine that either the engaged couple or coworkers hear that you are taking a course in interpersonal communication and want advice regarding how to communicate in their personal or professional relationships. Based on what you have learned in this course, your personal experience, and the five learning objectives we have covered, what advice would you give them regarding how to communicate effectively? How can you use what you have learned in this class to offer a couple or group of co-workers advice to have more positive relationships? Write your paper in the form of a letter. Please review the Sample Final Paper.Instructions Use the list of learning outcomes to write your letter. The course learning outcomes you will need to cover are listed below: Explain the principles of and barriers to effective interpersonal communications. Analyze the role of communication in developing and maintaining one’s self-concept, self-image, and self-esteem. Differentiate appropriate levels of self-disclosure and emotional intelligence in various relationships. Describe strategies for using communication techniques to resolve interpersonal conflicts. Analyze the impact of gender and culture on interpersonal communications.For each of the five learning outcomes, create a separate heading that states the learning outcome that you are addressing. Then, address the following for each segment: Explain the principles of and barriers to effective, competent interpersonal communications. Why do the principles matter? How can your couple or group of co-workers overcome the barriers you have listed? Analyze the role of communication in developing and maintaining one’s self-concept, self-image, and self-esteem. Begin by defining each term and then explain how these three notions of the self potentially impact the relationships of your couple or group of co-workers. What advice can you offer to help them develop a positive self-concept or build each other’s self-esteem? Illustrate the importance of self-disclosure and emotional intelligence in various relationships. What role does self-disclosure play in the relationships of your couple or co-workers? How can their relationships be improved by them becoming more emotionally intelligent? What connections can be made between emotional intelligence and self-disclosure? Evaluate strategies for using communication techniques to resolve interpersonal conflicts. Explain one or two potential conflicts and then present at least two strategies for addressing the dispute(s). Analyze the impact of gender and culture on interpersonal communications. First, define these two key terms. Then, explain the importance of gender and culture in relationships generally and for your couple or group of co-workers specifically. What advice can you give to become a better communicator based on the information you have presented?Content RequirementsYou must address all five of the learning outcomes and the questions listed with those objectives. For each objective, be sure to define key terms and relate those ideas directly to advice for your couple or co-workers. The point here is for you to demonstrate how these ideas can be utilized to help people in their relationships. Try to offer specific advice they can integrate into their lives.Begin your paper with an introductory paragraph that has a succinct thesis statement and that previews what you plan to cover in your paper. End with a conclusion that reaffirms your thesis and restates your key points.You must use at least five scholarly sources to help you make your points. At least three of these should be course readings and two should be academic articles you have found yourself by doing research in the Ashford University Library. If you need help doing research, visit the Ashford University Library, which can be accessed through the Library tab in the left-navigation menu, in your online course. You must also draw on personal experience to offer advice or to illustrate points. It is acceptable to use hypothetical examples and/or your personal experiences for either your couple or group of co-workers. We simply want to see that you can apply what you have learned to some potential “real world” experience.The Final Paper Must be 8 to 10 double-spaced pages in length (not including title and references pages) and formatted according to APA style. For assistance, visit the Ashford Writing Center’s Introduction to APA (Links to an external site.)Links to an external site.. Must include a title page with the following (for further assistance with the formatting and the title page, please refer to Ashford Writing Cetner’s APA Formatting for Word 2013 (Links to an external site.)Links to an external site.):  Title of paper Student’s name Course name and number Instructor’s name Date submitted Must include an introduction and conclusion paragraph. Your introduction paragraph needs to end with a clear thesis statement that indicates the purpose of your paper. For assistance on writing introductions, conclusions, and thesis statements, please refer to the following web pages, housed within the Ashford Writing Center & Library resources tab:  Introductions & Conclusions (Links to an external site.)Links to an external site. Writing a Thesis Statement (Links to an external site.)Links to an external site. Must use each learning objectives as a header dividing each section of the paper. Must use the textbook as a source. The Integrating Research (Links to an external site.)Links to an external site. tutorial will offer further assistance on including supporting information and reasoning. Must use two additional course articles/videos and two academic articles the student has found independently. A total of five sources must be used in the paper and be on the reference list. Must document any information from a source in APA style, as outlined in the Ashford Writing Center’s Citing Within Your Paper (Links to an external site.)Links to an external site.. Must include a separate references page that is formatted according to APA style. See the Formatting Your References List (Links to an external site.)Links to an external site. guide created by the Ashford Writing Center.Before you submit your written assignment, you are encouraged to review The Grammarly Guide: How to Set Up & Use Grammarly (Links to an external site.)Links to an external site. tutorial, set up a Grammarly account (if you have not already done so), and use Grammarly to review a rough draft of your assignment. Then carefully review all issues identified by Grammarly and revise your work as needed.Final NotesThis is a formal paper and should utilize proper grammar, complete sentences, and paragraph transitions. However, you will write this paper in the format of a letter to the newly-engaged couple or group of co-workers. Feel free to address the people you select directly throughout the paper.

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You will design your own self-care plan based on components emphasized in the written lectures throughout this course. The Unit VIII project will be titled Personal and Professional Growth: A Team Effort.

In this assignment for Unit IV, write a three-page essay explaining the challenges to personal and professional self-care. You will focus on the following five components:

  • Component 1: awareness of the issues;
  • Component 2: self-assessment;
  • Component 3: an action plan for your own self-care;
  • Component 4: an action plan where you as a leader, manage, lead, and coach colleagues in prioritizing their own self-care; and
  • Component 5: challenges presented to personal and professional self-care.

Information about accessing the grading rubric for this assignment is provided below. Remember to follow APA formatting guidelines for this essay.

Tipton, D. (2017). Personal and professional growth for health care professionals. Burlington, MA: Jones & Bartlett Learning.

 
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Imagine you must present your research findings to your Human Resources department.

Create a 12-slide Microsoft® PowerPoint® presentation discussing your analysis of the data. Include the following in your presentation:

· An introduction that includes the data and variables from the Happiness and Engagement Dataset.

· A description and the results of each analysis, including:

· The descriptive statistics from Part 1

· The t test from Part 2

· The ANOVA from Part 3

· The bivariate correlations from Part 4

· A conceptual summary of the results stating what the data conveys.

Include detailed speaker notes on each slide as a transcript of what you would say while presenting this information.

 
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The intention of the Key Assignment is for you to apply the concepts of this course as it relates to advice on building an effective team.

You will assume the role of “management consultant” (one who is hired from outside the organization—to remain objective—to analyze, strategize, investigate, and make suggestions on how to improve return on investment [ROI], production, efficiency, or make a team more effective [that is the one you will undertake]). You will use the slides that you already created in the P3 and P4 IPs to create a seamless, professional PowerPoint presentation that is to be presented to the organization’s management with the intention of giving critical analysis and strategy to make the improvements in the team.

Combine the presentation you developed from Phase 3 and Phase 4 into a single team development presentation. Using all of your materials from phase 3 and 4 (assignments), review all of the comments and recommendations provided from your instructor and peers to help you finalize your presentation. Include all of the following items in your final submission:

  • Make revisions to your power point presentation based on their suggestions
  • Make sure all information gaps are covered and explained in detail
  • Make sure the language and wording are consistent and clear in the presentation
  • Make sure the slides are in sequence and easy to follow for your audience
  • Make sure that the format and design of your slides are consistent throughout the presentation
  • Identify presentation topics that can be combined into a single slide for transparency
  • Exclude any materials that are overlapping or repeated to shorten content

You must include a minimum of 8 scholarly references.

 
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Case 3: Selection of a patient safety strategy
Background Information:
Langley Mason Health (LMH) is located in North Reno County, the largest public health care district in the state of Nevada, serving an 850-square-mile area encompassing seven distinctly different communities. The health district was founded in 1937 by a registered nurse and dietician who opened a small medical facility on a former poultry farm. Today the health system comprises Langley Medical Center, a 317-bed tertiary medical center and level II trauma center; Mason Hospital, a 107-bed community hospital; and Mason Continuing Care Center and Villa Langley, two-part-skilled nursing facilities (SNFs); a home care division; an ambulatory surgery center; and an outpatient behavioral medicine center.
In anticipation of expected population growth in North Reno County and to meet the state-mandated seismic requirements, LMH developed an aggressive facilities master plan (FMP) that includes plans to build a state-of-the-art 453-bed replacement hospital for its Langley Medical Center campus, double the size of its Mason Hospital, and build satellite clinics in four of its outlying communities. The cost associated with actualizing this FMP is estimated to be $1 billion. Several years ago, LMH undertook and successfully passed the largest health care bond measure in the state’s history and in so doing secured $496 million in general obligation bonds to help fund its massive facilities expansion project. The remaining funds must come from revenue bonds, growth strategies, philanthropic efforts, and strong operational performance over the next ten years. Additionally, $5 million of routine capital funds will be diverted every fiscal year for the next five years to help offset the huge capital outlay that will be necessary to equip the new facilities. That leaves LMH with only $10 million per year to spend on routine maintenance, equipment, and technology for all its facilities. LMH is committed to patient safety and is building what the leadership team hopes will be one of the safest hospital-of-the-future facilities. The challenge is to provide for patient safety and safe medication practices given the minimal capital dollars available to spend today.

LMH developed an IT strategic plan in late 2010, with the following ten goals identified:
• Empower health consumers and physicians
• Transform data into information
• Support the expansion of clinical services
• Expand e-business opportunities
• Realize the benefits of innovation
• Maximize the value of IT
• Improve projects outcomes
• Prepare for the unexpected
• Deploy a robust and agile technical architecture
• Digitally enable new facilities, including the new hospital.

Information System Challenge
LMH has implemented Phase 1 – an enterprise-wide EHR system developed by Cerner Corporation in 2008 at a cost of $20 million. Phase 2 of the project is to implement computerized provider order entry (CPOE) with decision-support capabilities. This phase was to have been completed in 2010, but has been delayed due to the many challenges associated with Phase 1, which still must be stabilized and optimized. LMH does have a fully automated pharmacy information system, albeit order technology, and Pyxis medication-dispensing systems on all units in the acute care hospitals. Computerized discharge prescriptions and instructions are available only for patients seen and discharge from the LMH emergency departments.

Currently, the pharmacy and nursing staff at LMH have been working closely on the selection of a smart IV pump to replace all of the health system’s aging pumps and have put forth a proposal to spend $4.9 million in the fiscal year beginning July 2012. Smart pumps have been shown to significantly reduce medication administration errors, thus reducing patient harm. This expenditure would consume roughly half of all the available capital dollars for the fiscal year.
The chief information officer, Marilyn Moore, PhD, understands the pharmacists’ and nurses’ desire to purchase smart IV pumps but believes the implementation of this technology should not be considered in isolation. She sees the smart pumps as one facet of an overall medication management capital purchase and patient safety strategic plan. Dr. Moore suggests that the pharmacy and nursing leadership team lead a medication management strategic planning process and evaluate a suite of available technologies that takes together could optimize medication safety (for example, CPOE, electronic medication administration records [e-mar], robots, automated pharmacy systems, bar coding, computerized discharge prescriptions and instructions, and smart IV pumps), the costs associated with implementing these technologies, and the organization’s readiness to embrace these technologies. Paul Robinson, PharmD, the director of pharmacy, appreciates Dr. Moore’s suggestion but feels that smart IV pumps are critical to patient safety and that LMH doesn’t have time to go through a long, drawn-out planning process that could take years to implement and the process of gaining board support. Others argue that all new proposals should be placed on hold until CPOE is up and running. They argue there are too many other pressing issues at hand to invest in yet another new technology.

At least a 100 word for the answer to the question.

1. In reviewing the 10 strategic goals of the IT Strategic plan, which are most closely aligned with the initiative for SmartIV Pumps proposed by nurses and pharmacists?

2.Which of the approaches suggested to improve medication management do you think would be the most appropriate course of action?

3. Why do you think that the suggested approach you selected will improve medication management?

4.How do decision support systems improve the safety of patient care and promote positive outcomes of care?

 
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