Optimizing Patient Processes: TQM Approach at ESKCC Clinic
Week 9 Assignment 2 – Case Study: Total Quality Management: The Patient Process at East-Southern Kentucky Community College Medical Clinic
Dr. William Jones has been the director of the health center clinic at East-Southern Kentucky Community College (ESKCC) for about six months. Having been a part of a much larger medical center in the past, he has seen the benefits of total quality management (TQM) and feels that it would help improve the operations at the ESKCC clinic. He has made some positive changes to the staffing of the clinic, but now feels that he must tackle making improvements to its operations. Consequently, he has created a TQM team (of which you are a part) and has made certain that they have received the necessary training to start examining the various processes within the health center’s operations.
The ambulatory health service department of the ESKCC health center clinic has received increased complaints from the ESKCC student body and staff concerning the services it offers in its walk-in urgent care clinic. Dr. Jones feels that this center would be an excellent starting point for the TQM team.
The Data
The team is presented with the following data regarding student/staff complaints:
The Patient Review Process
The process for a patient (either a student or a staff member) coming in because of a problem is as follows:
⦁ When a patient arrives at the clinic, the patient first sees the receptionist, who checks to see if the patient was seen before. If so, the receptionist pulls the medical record from the file. If the patient is new, the receptionist has the patient complete the necessary forms and creates a medical record.
⦁ Patients are seen by the physician in the order they arrive. If one of the two examination rooms is empty, the nurse escorts the patient to the examination room and records the patient’s medical complaint. If no examination rooms are available, the nurse escorts the patient to a waiting area until an examination room is available.
⦁ When the patient is in the examination room, the nurse performs routine tests. The nurse then writes the complaint and findings on a medical examination form, a form that will be subsequently filed with the patient’s medical record.
⦁ The physician examines the patient and orders medical tests, if necessary. A diagnosis and treatment plan is presented to the patient by the physician; a written copy of this plan and any other appropriate instructions are written on the medical examination form.
⦁ When the physician releases the patient, the patient returns to the receptionist, who prepares a bill. If the patient has health insurance, the bill is sent to the health insurance carrier.
⦁ The patient leaves after either paying the bill (by cash, check, or credit card) or signing the forms to authorize payment by his or her health insurance company. If the health insurance company refuses to pay or partially pays the bill, the receptionist bills the patient by mail. Any patient with an unpaid bill or bad credit history is refused subsequent treatment until the old bill is paid.
Instructions
As a member of the ESKCC TQM team, you are asked to put together a report that recommends improvements to the overall patient process. Create a 4–6 page report in a Word document (copy and paste any charts created in Excel) addressing the following tasks:
⦁ Construct a Pareto Chart for the data regarding complaints to the health center that is presented in Table 1. Describe two conclusions from examining this data.
⦁ Develop a control chart for the waiting time complaint (complaint #2). Explain how the control chart is developed and show the calculation process.
⦁ Illustrate the causes for Complaint #2 in a fishbone diagram. (Note: refer to the readings for examples.)
⦁ Develop a flow chart for the process that the clinic uses for a patient who comes into the ambulatory center. Draw two conclusions from examining the flow chart regarding either or both of the following:
⦁ How the process affects the patient.
⦁ Potential sources of unnecessary complexity.
⦁ 5. Determine three improvements to streamline the patient process based on the insights that you gain from examining the process flow chart as well as your understanding of total quality management concepts from your course readings.
Analyzing Group Therapy Techniques
⦁ Select one of the group therapy video demonstrations from this week’s required media Learning Resources.
What group therapy techniques were demonstrated? How well do you believe these techniques were demonstrated?
⦁ What evidence from the literature supports the techniques demonstrated?
⦁ What did you notice that the therapist did well?
⦁ Explain something that you would have handled differently.
⦁ What is an insight that you gained from watching the therapist handle the group therapy?
⦁ Now imagine you are leading your own group session. How would you go about handling a difficult situation with a disruptive group member? How would you elicit participation in your group? What would you anticipate finding in the different phases of group therapy? What do you see as the benefits and challenges of group therapy?
⦁ Support your reasoning with at least three peer-reviewed, evidence-based sources, and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.
Applying DiSC Profile Insights for Motivation in the Workplace
Part A
This course focuses on motivation. Weeks 1–3 introduced the idea of motivation (Week 1) and how a person’s needs (both intrinsic and extrinsic) (Week 2) and their climate (Week 3) influence how they are motivated. Weeks 4–8 covered specific motivational tools. As discussed in the Coach’s Huddles, Coach has been able to match all the different motivational tools with his individual team members and the team as a whole. Now it is time to apply what you’ve learned.
Please complete the following:
⦁ Based on the DiSC profile, what questions do you think your boss should ask to understand what motivates you? (Hint: The Read About It this week will be incredibly important when formulating your response.)
⦁ Explain why that question in particular as it relates to motivation.
My DISC style large falls into dominance style. All through, I regard this as a professional staple in my whole career. I discovered the drive and my underlying perseverance is important particularly in the process of professionally building my career and exceeding in my future endeavors. Following my promotion into a managerial role, I acknowledge the wide diversity in the field of personnel management. As such, dominance style played a key role in getting my new position due to effectiveness and largely because I was not easily intimidated. Again, I realized that investing considering in fostering teamwork played an important in producing better results. Owing to my extraordinary performance in the company, my employer was forced to hire at least two individuals over my ever-demanding position.
PART B
Communicating effectively can often help us manage conflict and overcome challenges in the workplace. Review the following scenario and answer the questions below.
Your bags are packed for a family vacation to Jamaica, and you leave in three days. Then, your co-worker calls the office to say she can’t come to work this week because her child has the flu and she has no one to babysit. Your supervisor says you have to cover that co-worker’s shift AGAIN for the fourth time in two months. Unfortunately, if you cover the shift, you will miss your vacation, and you will lose the money you spent on it. How would you manage this workplace obstacle using the skills and tools you’ve been learning throughout this course? As a reminder, those skills are communication, technology, productivity, and self and social awareness.
Biodiversity Benefits: A Closer Look at Environmental, Economic, and Personal Impacts
PART A
Activity 1 WATCH https://www.youtube.com/watch?v=XOxsjdB4-ZQ&t=1s AND ANSWER QUESTIONS
1. Why is genetic diversity important? Genetic diversity it occurs among distinct populations of single species
2. Explain the connection between population size and genetic diversity.
3. What may occur as a result of closely related individuals breeding?
4. What usually precedes extinction? Why do you think this is
5. What happens to the unique genetic diversity of a species if it goes extinct? What implications may this have for humans?
6. How is human well-being threatened by a lack of genetic diversity in our agriculturally important crops?
Activity 2 WATCH VIDEO AND ANSWER QUESTIONS https://www.youtube.com/watch?v=nQChYlCni-s
1. In the Gorilla SSP, is equal breeding priority given to all individuals? Why or why not?
2. Why was the male gorilla’s background helpful to the SSP breeding program?
3. Let’s expand on this video, and EXPLORE WESBITE https://en.wikipedia.org/wiki/Ex_situ_conservation#Genetic_management_of_captive_populationsWhat does mean kinship measure?
4. What does it mean for an animal to have a low mean kinship value?
5. Would an animal with a low mean kinship value be desirable for a captive breeding program? Explain.
6. Why is the potential for the loss of genetic diversity high in captive populations of endangered species?
7. What is one harmful effect of inbreeding
PART B
Activity 1
For this activity, you’ll go to the Encyclopedia of Earth websites on https://editors.eol.org/eoearth/wiki/Species_diversity
and https://editors.eol.org/eoearth/wiki/Species_richness
While reviewing the information on these sites, you’ll answer the following questions
1. How does species richness influence species diversity?
2. How does species evenness influence species diversity?
3. What is the range of estimates for total species richness on Earth?
4. In terms of geographic patterns, where is species richness generally higher?
5. How do disturbances affect species richness?
Activity 2
For this activity, you’ll be using a simulation to quantify biodiversity at two different time periods. The calculation for diversity indexes take into account both species evenness and species richness. These calculations can be quite complex, so we’ve made it easy with a handy-dandy diversity index calculator.
USE THE DIVERSITY INDEX CALCULATOR ATTACHMENT THAT ATTACHED !!!
GO TO WESBITE https://www.biologysimulations.com/biodiversity
1. Click on the red button that says “produce community”
2. Count the number of individuals of each species that you see. Enter this data into the column labeled “abundance” for each species in the “community 1” section.
o Note: you may not see every species listed in your community. That’s ok. You can either leave abundance blank or put a 0 in the column.
o Think of this like a game of i-spy. The species may be flying in the tree tops, perched on branches, on the ground.
3. Once you’ve documented all the species in community 1, click “produce community” again.
4. Repeat step 4, entering this data into the “community 2” section of the excel workbook.
Once you’ve documented the richness, evenness, and diversity for the two communities, answer the following questions in your lab notebook.
1. What is the diversity index value for community 1? For community 2?
2. Was one community more diverse than the other?
3. Was this difference due to species richness or evenness?
4. Community 1 represents a community approximately 70 years ago. Community 2 represents the same community in the present day. Write a description (at least 7 sentences) of a scenario to explain the difference between the two samples. Be creative in designing your scenario, taking into account factors from the surrounding area. Think about factors that can lead to increased/decreased/stable biodiversity. Be as detailed as possible in your description.
PART C
Activity 1 WATCH VIDEO AND ANSWER QUESTIONS https://www.youtube.com/watch?v=RFEV-hiP2gQ&t=1s
1. Define biome.
2. List three different biomes.
3. What is the initial energy source for nearly all biomes?
4. What two climatic factors influence the distribution of terrestrial biomes around earth?
5. If you’re living in Southern California or South Africa, in what biome are you living?
6. Rainforests and deserts both have high temperatures, why is one so much more diverse than the other?
Activity 2
GO TO WEBSITE https://www.cepf.net/our-work/biodiversity-hotspots
1. Click on the California Floristic Province (CFP)
2. Answer the questions below about this hotspot
Answer the following questions in your notebook
1. What are some of the types of ecosystems found in the California Floristic Province?
2. Approximately what percentage of vegetation remains in more of less pristine condition? Why do you think there isn’t more left?
3. Click on “species.” How does the number of native vascular plants compare to the surrounding geographical regions?
4. What percentage of CFP native plants are endemic?
5. What is it about the environment in California that has led to a large number of specialized flora?
6. While there are only 10 bird species endemic to California, why else is the CFP important for maintaining bird biodiversity?
7. What animal appears on the California flag? Why is this animal no longer found in California?
8. What type of endemic amphibians is the CFP known for?
9. Click on “threats.” What are the main threats to the biodiversity of CFP?
10. One of California’s major economic activities is agriculture. How much of the food consumed in the US on a yearly basis is produced in California?
11. What percentage of redwood forests are left? What happened to them?
12. What are the consequences of the destruction of wetlands?
13. Go back to the map. What are three other hot spots found in other regions?
DISCUSSION FORUM MUST BE 8 SENTENCES
Prompt
Let’s say you get the following email from a close friend:
I just don’t get it. The US spent 1.5 billion dollars on protecting threatened and endangered species in 2016 Links to an external site.. This money is being spent when we have veterans living on the streets homeless, millions of people without adequate health care, and so many other large scale societal issues. It seems like the money could be spent in better ways, in ways that help humans. I don’t see the need to protect a tiny little kangaroo rat or a frog. Why should we be using our resources to help save these species?
Construct a response to your friend that argues that protecting biodiversity indeed does benefit people. Provide at least 2 articles or videos for your friend to view that help support your argument. And make it personal, include at least 3 direct ways in which your friend benefits from the continued existence of a biodiverse planet. Your friend mentioned a specific dollar amount. Can you counter this argument with another dollar amount?
WATCH VIDEO https://www.youtube.com/watch?v=h5eTqjzQZDY&feature=emb_title
Navigating Financial Integrity: The Crucial Role of Internal Controls
the accounting system works as it should, the result will be reliable financial statements. However, there are numerous opportunities where breakdowns in the financial reporting system can occur. Knowing where these breakdowns can occur and knowing how and why internal controls are designed to prevent those breakdowns will help you to appreciate the role of controls and auditors in an organization.
Is an internal control structure really necessary? Your uncle doesn’t seem to think so. He works for a regional employment staffing service and recently commented, “As long as a company hires hardworking, honest people, fraud and abusive financial reporting cases will be almost nonexistent. People with integrity will always make the right choice. In the last six months, we haven’t placed anyone for employment who has been fired or let go for fraudulent activity!” A friend argues, however, that anyone presented with the right pressures can commit fraud and that opportunities must be eliminated through an effective internal control structure.
Respond to the following in a minimum of 175 words:
⦁ Provide an example of an internal control and how it can prevent breakdown or fraud.
⦁ In your company, what internal controls do you encounter on a regular basis? Are those controls appreciated or viewed as a nuisance that must be worked around?
Optimizing Inventory Managemen
Research two manufacturing or two service companies that manage inventory and write a 4-5page paper in which you:
⦁ Determine the types of inventories these companies currently manage and describe their essential inventory characteristics.
⦁ Analyze how each of their goods and service design concepts are integrated.
⦁ Evaluate the role their inventory plays in the company’s performance, operational efficiency, and customer satisfaction.
⦁ Compare and contrast the four different types of layouts found with each company; explain the importance of the layouts to the company’s manufacturing or service operations.
⦁ Determine at least two metrics to evaluate supply chain performance of the companies; suggest improvements to the design and operations of their supply chains based on those metrics.
⦁ Suggest ways to improve the inventory management for each of the companies without affecting operations and the customer benefit package. Provide a rationale to support the suggestion.
⦁ Use at least three quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.
This course requires the use of Strayer Writing Standards. For assistance and information, please refer to the Strayer Writing Standards link in the left-hand menu of your course. Check with your professor for any additional instructions.The specific course learning outcomes associated with this assignment are:
⦁ Propose improvements to the inventory management practices of businesses.
Analyzing Wilson’s Adaptation of Aesop’s Fable
Wilson’s makes some major changes to the way the characters in the story are described, and also changes a number of descriptive details – and while it follows the general plot structure of Aesop’s fable, it makes a couple of major changes.
Which of these differences stand out most to you? How and why do these changes alter the meaning of the story?
Be specific!
Developing Client-Centered Goals in Occupational Therapy
Objective:
· The student will demonstrate and articulate proficiency in reading, reviewing, and gathering data of a client, and in using their clinical reasoning and prioritizing skills to assist in the development of long and short term goals on a Plan of Care.
· Necessary data to assist with the development of LTG and STG will include evaluation results of patient’s performance in occupation, diagnostic tests results and any other relevant statistics/data
· This assignment evidences an understanding of business aspects of practice which includes but is not limited to, financial management, billing and coding
Procedure: The student will be assigned a case study with an array of impairments and dysfunctions. They will complete an analysis of the evaluation performed and complete the sections related to Long Term and Short Term goals.
Public Health Challenges and Opportunities
Challenges and Opportunities moving into the Future: Resources and Stakeholders
Supporting Lecture:
Review the following lecture:
⦁ Major Public Health Advancements
THIS WEEK’S project is to write the CONCLUSION section of your final capstone paper. In this section, you will describe challenges and opportunities related to your health issue, moving into the future. You will highlight additional resources that are needed to address the issue, and stakeholders who need to be involved in the process.
Create a 3-4 page report discussing the issues above. Use at least five (5 ) reputable sources (the text, South University library resources, government websites, peer-reviewed research articles) that you cite in the text and at the end in APA format.
Submission Details
⦁ Name your document SU_PHE4200_W6_A2_LastName_FirstInitial.doc.
⦁ Submit your document to the Submissions Area by the due date assigned.
⦁ Support your responses with examples.
⦁ Cite any sources in APA format.
Order ID | 53563633773 |
Type | Essay |
Writer Level | Masters |
Style | APA |
Sources/References | 4 |
The perfect number of Pages to Order | 5-10 Pages |
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