What are managerial actions that a rural community hospital CEO can take to alleviate the revenue shortfalls of the maldistribution of primary care physicians and inefficient patient throughput caused by nurse staffing shortages?

COMMENTARY AND QUESTIONS:  The United States is suffering a shortage of licensed physicians and registered nurses to provide primary health care.  While the physician shortage is profession-wide, there is a greater shortage of primary care physicians than specialty physicians.  Further, the United States is suffering from physician maldistribution, with more physicians (primary and specialty) choosing to practice in affluent urban areas as opposed to more economically depressed rural areas.  Rural community hospitals that depend upon physician referrals for inpatient admission, outpatient surgery, and diagnostic testing revenues are suffering because there aren’t enough physicians to generate sufficient revenues for the hospital to be financially viable.  Rural patients who have the economic means and ability are responding to the primary care shortage by seeking primary care in the urban areas, which means that they are referred to urban hospitals for inpatient admission, outpatient surgery and diagnostic testing.
Hospitals across the U.S. have critical shortages of nursing staff and are suffering the consequences of inadequate patient throughput.  Patient throughput is the process of moving patients through the hospital at the appropriate time in the patient’s treatment so that the patient’s bed can be opened for a new revenue-generating patient.  For example, an ICU patient should be moved to a lower-care medical-surgical floor as soon as possible so that the ICU bed is available for a new patient.  Similarly, this same patient should be moved to a rehabilitation hospital as soon as they no longer need acute care so that the patient’s medical-surgical bed is available for a new revenue-generating patient.  In some instances, patient throughput is being slowed down because there isn’t enough nursing staff on the medical-surgical floor to receive patients from the ICU or other higher care areas.  The inability to move patients through the hospital to lower levels of care (and ultimately to discharge) negatively impacts the hospital’s revenues.
The combination of primary care physician shortages, physician maldistribution negatively impacting the rural areas, and critical nurse staffing shortages have a cumulative negative effect on rural community hospitals.  Please discuss the following:
1.  What are managerial actions that a rural community hospital CEO can take to alleviate the revenue shortfalls of the maldistribution of primary care physicians and inefficient patient throughput caused by nurse staffing shortages?
2.  Should the CEO seek to recruit primary care physicians and/or nurses from foreign countries to move into the rural community and establish a professional practice in the community?  If yes, there would be additional primary care physicians to make patient referrals to the hospital (e.g., revenue-generating) and additional nurses to staff the hospital clinical service locations so that patients could be moved through quicker.
3.  However, what is the effect of recruiting international medical and nurse graduates to the United States on the global health care economy in less developed countries?  Does the CEO have a socio-ethical duty to not recruit qualified medical practitioners away from their home country when they are sorely needed to take care of patients in that home country; or is the CEO’s duty to their own rural community in the United States?

Explore the website :    www.nasdaq.com and write 3-5 pages typed double space 12 times new roman font. Please explore the website and write what info you found on the website. Explore different tabs i.e. Our Businesses, Quotes, Markets, News, Investing, Personal Finance, Portfolio.

Case Study 2.1
Explore the website :    www.nasdaq.com and write 3-5 pages typed double space 12 times new roman font. Please explore the website and write what info you found on the website. Explore different tabs i.e. Our Businesses, Quotes, Markets, News, Investing, Personal Finance, Portfolio.

An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. History obtained from staff reveals the patient has a history of malabsorption syndrome and difficulty eating due to a lack of dentures. The patient has been diagnosed with protein malnutrition. The role genetics plays in the disease. Why the patient is presenting with the specific symptoms described.

Scenario:
An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. History obtained from staff reveals the patient has a history of malabsorption syndrome and difficulty eating due to a lack of dentures. The patient has been diagnosed with protein malnutrition.
The role genetics plays in the disease.

Why the patient is presenting with the specific symptoms described.
The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
The cells that are involved in this process.
How another characteristic (e.g., gender, genetics) would change your response.

What might be a characteristic influencing your response?
The scenario reflects this to be an unidentified race, so if this patient was African American would this create characteristics influenced by race? It may or may not just support your point with a citation.
In this elderly female, there are several contributing factors for her presenting with these symptoms.
If you do not find any genetic factors contributing, provide a citation supporting this. As a student, be sure to support your points until you become the expert.

Considering the ethical dilemma shared above, how might someone object to using utilitarianism as a viable means of solving that ethical dilemma? Do you find the objection helpful or unhelpful?

Prior to beginning work on this discussion forum, read Chapter 3 of the How Should One Live? An Introduction to Ethics and Moral Reasoning, and Chapter 2 of John Stuart Mill’s Utilitarianism also in your textbook’s Primary Sources section.
The first discussion this week will focus on explaining and evaluating the utilitarian ethical theory as discussed in Chapter 3 of the textbook. Your instructor will be choosing the discussion question and posting it as the first post in the main discussion forum. The requirements for the discussion this week include the following:
Discussion Topic: Strengths and Weaknesses of Utilitarianism
After reading Chapter 3 of the textbook, consider utilitarianism’s advantages and disadvantages as an ethical theory.
Please address the following questions (not necessarily in this order):
1. Reflect on yourself:

Consider a time when you (or someone you know) faced an ethical dilemma. Describe the circumstance and include relevant facts about the ethical issue.
Discuss whether utilitarian principles were used to address the dilemma. If not used, do you believe that if utilitarian theory had been employed, the ethical dilemma would have had a different outcome?

2. Engage with the text:

Using at least one quote from one of the required readings, explain what you believe are the strengths of utilitarianism.
Using at least one quote from one of the required readings, explain what you believe are utilitarianism’s weaknesses (objections).

Several objections to utilitarianism are discussed in Chapter 3, Section 3.5 of the textbook, and John Stuart Mill (2017/1863) discusses eight objections to Utilitarianism (in Chapter 3 of the textbook, the text can be found under “Primary Sources” and the objections under the section, “Objections and Replies”).
3. Reflect on the theory:

Considering the ethical dilemma shared above, how might someone object to using utilitarianism as a viable means of solving that ethical dilemma? Do you find the objection helpful or unhelpful?

The total word count for all your posts should be at least 600 words, excluding references.

Describe your understanding of the homeostasis process by summarizing how the food you have (or have not) eaten today affects your blood glucose level.

1. Describe your understanding of the homeostasis process by summarizing how the food you have (or have not) eaten today affects your blood glucose level.
Provide answer here
2. Summarize the function of four organelles found in a basic human cell.
Provide answer here
3. Describe how substances move in and out of a cell.
Provide answer here
4. Choose two organs that are found in different body cavities. Describe their location in relation to each other, using at least three positional medical terms.
Provide answer here

RAND > The RAND Blog > When Is a Terrorist Really a Terrorist?

RAND > The RAND Blog >

When Is a Terrorist Really a Terrorist?
COMMENTARY (The Hill)

Privacy – Terms

OBJECTIVE ANALYSIS.
EFFECTIVE SOLUTIONS.

Travelers are evacuated out of the terminal and onto the tarmac after a shooting at Fort Lauderdale-Hollywood International Airport in Florida, January 6,
2017
Photo by Andrew Innerarity/Reuters

by Brian Michael Jenkins

January 27, 2017

S
ecurity footage shows what looks like an all-too-typical episode of lone-wolf terrorism: A single young man

pulls a handgun from his waistband and begins firing at helpless victims in an airport baggage claim area.

The results were certainly terrifying — five dead, six wounded, countless others traumatized as witnesses to

the carnage.

But while this month’s attack at the Fort Lauderdale-Hollywood Airport in Florida outwardly bore the hallmarks of a

terrorist event, it should not be automatically lumped in with the many deadly acts of ideologically inspired violence

that plague the globe — at least not based on what is now known about the attacker, 26-year-old Iraq War veteran

Esteban Santiago.

More than 15 years after fear of international terrorism seized the world’s consciousness on 9/11, Americans seem

almost eager to explain away senseless acts of mass violence as being driven by ideology, preferably jihadi ideology.

This is a mistake that only stokes the fear of terrorism and exaggerates the influence and reach of America’s Islamist

extremist foes.

As word of the Fort Lauderdale attack spread across the media landscape, journalists, online commentators and

many Americans immediately sought to identify the terror nexus that would conveniently attribute the killings to

jihadi motivations.

And there it was: Santiago had complained to the FBI that U.S. authorities were forcing him to watch Islamic State in

Iraq and Syria (ISIS) videos in his home state of Alaska and heard voices urging him to join the terrorist group. He

later told investigators that he had participated in jihadi online chat rooms, though this has not yet been

corroborated.

But does this make Santiago a terrorist? Not necessarily. It could point to a delusional mental state with only a thin

connection to terrorism. Such mental conditions are commonly at play in these kinds of attacks, even when the

connection to terrorism is less tenuous.

Who’s to say if mental
health interventions
could have helped
prevent some of the
attacks that are
commonly attributed to
terrorist motives?

To be sure, those who commit mass murder are seldom society’s happy campers, but that should not necessarily

expand America’s terrorist list to include individuals with histories of aggression, substance abuse or mental illness

who put on an ISIS or al Qaeda jersey on their way to the attack.

Who’s to say if mental health interventions could have helped prevent some of

the attacks that are commonly attributed to terrorist motives, but were

committed by individuals with deep personal or emotional problems, some with

twisted needs to self-explain their rage, even when their deadly missions are

planned to end in their own deaths?

Was Muhammad Youssef Abdulazeez, the shooter who killed five people in

Chattanooga, Tennessee in 2015, a lone-wolf terrorist dedicated to jihad or a

disturbed individual with alcohol, drug and money problems whose family had

sought and failed to get him therapy?

Was the 2016 killing of 49 people at a gay nightclub in Orlando, Florida an act of

terror committed on behalf of ISIS as the killer, Omar Mateen, told police before he was killed, or was it an act of rage

by an angry homophobe on steroids?

It is probably not lost on America’s jihadist enemies that their ideology has become a conveyor for individual

discontents. Whether planned or not, the jihadists have attracted a self-selecting audience of troubled souls through

social media outreach, publicizing their atrocities and urging extreme violence.

All of this is reinforced by intense global media coverage of attacks with terrorist links.

Countering mass violence demands a distinction between those truly radicalized and inspired by jihadist ideology

and those with lesser links, including those whose mental states and violent tendencies preexist their exposure to

jihadist ideology.

But this is not a simple task in the face of a public that prefers easy answers.

To some audiences, ascribing murderous rampages to political motives may make more sense than a more nuanced

explanation that includes mental illness. Terrorism gives Americans a clear culprit and a distant enemy to fear and

loathe, whereas mental illness could arouse sympathy, inappropriately mitigating the violence.

And in a curious way, death at the hands of terrorists ennobles the dead and wounded. They are not merely random

victims of mindless murder, but casualties of war.

Terrorism is also something that can seem easier to address: Security can be increased, jihadist organizations can be

destroyed, violent extremism can be countered. A terrorist can be shot or shut up in prison.

Sorting out how to deal with mental disorders that sometimes don’t show themselves until they erupt in bloodshed

is a much more difficult task.

Brian Michael Jenkins is a senior adviser to the president of the nonprofit, nonpartisan RAND Corporation and an

author of numerous books, reports and articles on terrorism-related topics.

This commentary originally appeared on The Hill on January 26, 2017. Commentary gives RAND researchers a

platform to convey insights based on their professional expertise and often on their peer-reviewed research and

analysis.

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Define psychiatric interview and its importance to the psychiatric nurse practitioner’s role. Compare the phases and critical tasks involved in performing the initial interview. Explain the on going process of the psychiatric assessment.

After studying Module 2: Lecture Materials & Resources, discuss the following:

Define psychiatric interview and its importance to the psychiatric nurse practitioner’s role.
Compare the phases and critical tasks involved in performing the initial interview.
Explain the on going process of the psychiatric assessment.

Submission Instructions:

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible.
Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

Architecture and design utilizing online research tools

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Identify key differences between each of the divisions in the government structure for Division I, IIand III.

 
For this week’s group dialogue, please respond to the prompt stated below. A grading rubric for this assignment can be found in the “Grades and Progress” section of the main menu. Locate the assignment and click on “View Rubric.”
This week’s dialogue prompt is:
You are learning about governance issues arising with high school and collegiate athletics.  Here, you will take what you learned to discern between divisions of collegiate athletics.  Most of you have heard of the National Collegiate Athletics Association (NCAA), but prior to this course, how familiar were you with their governance structure?  Did you realize that the governance structure for Division I does not look like Divisions II and III?  Based on what you have learned from your textbook, and can cull from the NCAA’s website, identify key differences between each of the divisions in the  Why are the divisions structured differently, and what benefits and challenges might each structure have in each division?  If you were to change any of the structures, how would you alter the governance structures, and why?  You can start with your text and the NCAA website, which provides governance information under each divisional tab (Division I, Division II, and Division III).  [You must properly cite your Sharp text and at least one outside resource using APA format, not including constitutional provisions, statutes, ordinances, or other laws, rules, and regulations.]
To submit your post, you can either click on the link above to directly access the Group Page or on your Group link on the side menu. When you are on the Group Page, click on the group highlighted for you. Once inside, click on the Discussion Board option. Then, click on the dialogue link for that week. Click on Add Thread to create a space for your post. Click Submit to make your post available to the rest of the class. To respond to other students’ threads, click on Reply button in the bottom left corner inside of a message.

Explain how technology supports best practices and ethical standards used in social work practice.

 
Assignment Overview
900 words
Mentorship and engaging with colleagues are important components of professional development. In this assignment, you engage with an experienced social work supervisor as a means of better understanding the field and best practices within the profession. Through this glimpse into the real world of social work, you will better understand the concepts and theories you are learning in your course.
By successfully completing this assignment, you demonstrate your proficiency in the following EPAS and the advanced generalist specialized behaviors:

Competency 1: Demonstrate Ethical and Professional Behavior.

C1.SP.A: Apply professional use of self and leadership skills with colleagues, clients, groups, organizations, and communities.

Related Assignment Criterion:

8. Explain the importance of self-care in social work practice when acting as a supervisor.

Competency 1: Demonstrate Ethical and Professional Behavior.

C1.SP.B: Articulate and provide leadership in the application of the core values and ethical standards of the social work profession through an ethical problem solving model to aid in critical thinking, affective reactions and ethical decision making related to individuals, families, groups, organizations, and communities to guide and inform ethical practice in the specialization of advanced generalist social work.

Related Assignment Criteria:

3. Connect the NASW Code of Ethics to social work and best practices in supervision.
4. Explain how education, training, and practice support can help protect the code of ethics and best practices of social work supervisors.
5. Explain how technology supports best practices and ethical standards used in social work practice.

Competency 2: Engage Diversity and Difference in Practice.

C2.SP.A: Analyze dimensions and differentiation in diversity and apply the influence of relationships and affective reactions to intervention techniques and technologies with diverse clients, families, groups, organizations, and communities. 

Related Assignment Criterion:

6. Explain dimensions of diversity and how they influence leadership and supervision in social work.

Competency 3: Advance Human Rights and Social, Economic, and Environmental Justice.

C3.SP.C: Analyze and respond to evolving leadership, technological, political, economic, social cultural, geographical, and environmental contexts to shape the specialization of advanced generalist practice.

Related Assignment Criteria:

2. Identify best practices and standards related to supervision and leadership integrated into the social work profession.
5. Explain how technology supports best practices and ethical standards used in social work practice.
7. Describe how leadership skills advance social and economic well-being when working collaboratively.

Competency 5: Engage in Policy Practice.

C5.SP.A: Apply leadership skills and decision making as social change agents to collaborate with clients, colleagues, and identified stakeholders to advance social and economic well-being in the delivery of effective and technology-assisted social work services to individuals, families, and groups.

Related Assignment Criterion:

7. Describe how leadership skills advance social and economic well-being when working collaboratively.

Competency 6: Engage With Individuals, Families, Groups, Organizations, and Communities.

C6.SP.A: Apply critical thinking and decision making in verbal and written communication through the use of leadership and technology when engaging with colleagues, individuals, families, groups, organizations, and communities.

Related Assignment Criterion:

10. Apply critical thinking through written communication in analyzing social work best practices and supervision.

Competency 6: Engage With Individuals, Families, Groups, Organizations, and Communities.

C6.SP.B: Apply and integrate theories of human behavior and the social environment in the specialization of advanced generalist practice when engaging with individuals, families, groups, organizations, and communities.

Related Assignment Criterion:

9. Describe conflict theories that support best practices as an advanced generalist supervisor.

Competency 7: Assess Individuals, Families, Groups, Organizations, and Communities.

C7.SP.A: Apply critical thinking and decision making in verbal and written communication through the use of leadership and technology when assessing colleagues, individuals, families, groups, organizations, and communities.

Related Assignment Criterion:

10. Apply critical thinking through written communication in analyzing social work best practices and supervision.

Competency 7: Assess Individuals, Families, Groups, Organizations, and Communities.

C7.SP.B: Apply and integrate theories of human behavior and the social environment in the specialization of advanced generalist practice when assessing individuals, families, groups, organizations, and communities.

Related Assignment Criterion:

9. Describe conflict theories that support best practices as an advanced generalist supervisor.

Competency 8: Intervene With Individuals, Families, Groups, Organizations, and Communities.

C8.SP.A: Apply critical thinking and decision making in verbal and written communication through the use of leadership and technology when intervening with colleagues, individuals, families, groups, organizations, and communities.

Related Assignment Criterion:

10. Apply critical thinking through written communication in analyzing social work best practices and supervision.

Competency 8: Intervene With Individuals, Families, Groups, Organizations, and Communities.

C8.SP.B: Apply and integrate theories of human behavior and the social environment in the specialization of advanced generalist practice interventions with individuals, families, groups, organizations, and communities.

Related Assignment Criterion:

9. Describe conflict theories that support best practices as an advanced generalist supervisor.

Competency 9: Evaluate Practice With Individuals, Families, Groups, Organizations, and Communities

C9.SP.A: Apply critical thinking and decision making in verbal and written communication through the use of leadership and technology evaluations with colleagues, individuals, families, groups, organizations, and communities.

Related Assignment Criterion:

10. Apply critical thinking through written communication in analyzing social work best practices and supervision.

Competency 9: Evaluate Practice With Individuals, Families, Groups, Organizations, and Communities.

C9.SP.B: Apply and integrate theories of human behavior and the social environment in the specialization of advanced generalist practice evaluation with individuals, families, groups, organizations, and communities.

Related Assignment Criterion:

9. Describe conflict theories that support best practices as an advanced generalist supervisor.

Competency 9: Evaluate Practice With Individuals, Families, Groups, Organizations, and Communities.

C9.SP.D: Analyze and respond to evolving leadership, technological, political, economic, social cultural, geographical, and environmental contexts to shape the specialization of advanced generalist practice evaluation.

Related Assignment Criteria:

2. Identify best practices and standards related to supervision and leadership integrated into the social work profession.
5. Explain how technology supports best practices and ethical standards used in social work practice.
7. Describe how leadership skills advance social and economic well-being when working collaboratively.

 
Assignment Instructions
As you prepared for your interview, you designed questions to ask the social worker supervisor about each of the following content areas. You also need to conduct a literature review to gather additional evidence-based information to enhance the information you gathered from the interview. It might be helpful to conduct the literature review synchronously to designing the interview questions. This written assignment is your opportunity to synthesize the information gathered from the interview and your literature review into a comprehensive and concise discussion about best practices in supervision. You must make clear connections between the interview and the theories and standards involved in the profession.
Complete the following:
Section 1
Copy and paste the e-mail that confirms, by reply of your interviewee, your meeting with the social work supervisor you met with for this assignment. The confirmation must include the name, credentials, agency, and contact phone and e-mail address of the person interviewed. It must also include the meeting date, time, and location of your meeting. This information is subject to confirmation by your instructor. If this information is not included in the assignment, it will be returned to you with a grade of zero.
Section 2
Organize your paper, using headings, to address each of the content areas. Be sure that you synthesize information from the interview with content learned from the text, articles, NASW resources, and additional resources into these categories.

Identify best practices and standards that are a part of supervision and leadership within the social work profession and how they are integrated into the social work profession. Why are they important to the profession?
Connect the NASW Code of Ethics to Best Practice Standards in Social Work Supervision.
Explain how education, training, and practice support can help protect the NASW Code of Ethics and Best Practice Standards in Social Work Supervision.
Explain how technology supports best practices and ethical standards used in social work practice.
Explain dimensions of diversity and how they influence leadership and supervision in social work.
Describe how to use leadership skills when working with a supervisee to advance social, economic, and environmental well-being? How does this affect supervisee performance in addressing social, economic, and environmental well-being?
Explain the importance of self-care in social work practice when serving as a supervisor. Why is this important and include examples of best practices in self-care.
Describe critical or conflict theory that support best practices as an advanced generalist supervisor.
Apply critical thinking through written communication in analyzing social work best practices for supervision.

Additional Requirements
The assignment you submit is expected to meet the following requirements:

Written communication: Written communication is free of errors that detract from the overall message.
A