Discussion posts

1 discussion question per week

Tuesday – Academic week begins, and the weekly module becomes available
Thursday – Initial discussion post due
Sunday – Discussion replies to at least 2 classmates are due
Monday – Writing assignment is due.

1st Class

N502 - Health Care Systems

Required Text Books:
Publication Manual of the American Psychological Association (APA 7th Edition) , 7th
ISBN: 9781433832154 

Health Care USA: Understanding Its Organization and Delivery (9th Edition) , 9th
ISBN: 9781284114676 

Course Structure:
Module 1: Overview of U.S. Health Care and Benchmark Developments
Module 2: Hospitals - Origin, Organization, and Performance
Module 3: Non-Hospital Entities - Ambulatory Care, Long Term Care, and
Mental Health Services
Module 4: Human Resources - Health Care Personnel and the Changing
Practice of Medicine
Module 5: Financing Health Care
Module 6: Public Health and the Role of Government in Health Care
Module 7: Research - How Health Care Advanced

Module 8: The Future of Health Care

MODULE 1 (1st post due Thursday 10/28,
Table of Contents Module 1: Overview of U.S. Health Care and
Benchmark Developments  Module 1 Overview
Welcome to Module 1! This module provides an overview of the U.S. health care industry and the major
legislative, political, economic, organizational, and professional influences that have transformed
health care.

Module 1 provided a general overview of the U.S. health care industry, its policy makers, it values and
priorities, and its various responses to health care diseases and problems. A template for
understanding the natural histories of diseases and the levels of medical intervention was illustrated.
Major influences in the continuing growth and change of the US health services system were presented
as a foundation for further exploration. The conflicts of interest and ethical dilemmas resulting from
medicine’s technologic advances and the advent of managed care were also introduced.

This module also described the major developments in health care in the US and the important
legislative, political, economic, organizational, and professional influences that have transformed
health care from a relatively simple process to a huge, complex, corporation-dominated industry. The
effects of medical education, scientific advances, rising costs, changing population demographics, and
American values regarding health care were analyzed.

Our lives are so busy these days with work, family, and other social commitments. Adding in school can
be cause a lot of stress. In order to help minimize the stress, it is important to carve out time each
week dedicated to studying and working on your assignments. Take a look at the tips regarding time
management in the Writing Center. Complete the Weekly Planner in order to understand your
schedules. Make sure you include time for your studies.

Where do you turn when you have a question? Fellow students may have the same questions or
possibly answers. Next, your professor can provide help in understanding an assignment or the
expected outcomes of the assignment. Your advisors, the dean, and others can help with questions
about your college experience. Knowing where to look for assistance empowers your success.

SQ3R is a technique to help with textbook reading and even mathematics. The process is easy and
makes reading much more effective. Click on the picture below. The website contains videos on using
SQ3R for Math and Reading. Take a few minutes at the beginning of this week to watch these short
videos.

 Module Goals

 Differentiate among levels of application of preventive measures in tracing the natural history
of disease in humans.
  Analyze the conflicting concerns, interests, and influences of the major stakeholders in the U.S.
health care industry.
 Trace the major historical and political developments in U.S. health care, including the efforts
of the Obama administration to complete a major reform of the U.S. healthcare system.
 Evaluate the influence of the aging population and rising costs on the health care system.
 Articulate how the basic issues of cost, quality, and access can create ethical dilemmas in the
delivery of health care.
 Assess the growing influence of pharmaceutical and insurance companies on the costs and
procedures of medical practice.

Goals Alignment:
University Mission Based Outcomes - 3, 4

Program Learning Goals - 2, 8

Course Learning Objectives - 6

 Learning Materials
Required Resources: 

 Sultz, H. A., & Young, K. A. (2017). Health care USA: Understanding its organization and
delivery (9th ed.). Jones & Bartlett. Read Chapters 1 & 2.

Additional Resources: 

 Carnegie Mellon University, (2008, Feb. 6). Randy Pausch Lecture: Time Management  [Video]. 

After reviewing the information above, complete the  discussion question  for this module. You can select
the button below, or use the Content link at the top of the page to navigate through this course.

Module 1 Discussion
Here you will find this module's required discussion question, instructions, and rubric.

Discussion Question:
The practice of medicine, long valued for individual entrepreneurship and physician control, has
undergone dramatic change. Physicians now face vexing oversight of case and utilization management
and loss of control over the allocation of health care dollars. Managed care organizations control
health costs by arbitrarily refusing reimbursement for certain medical procedures and reducing
payments for others. Since medicine is now a less attractive career option, will fewer high performing
individuals choose to become physicians? What are the implications for the quality of care?
DQ1 UMBO – 3
DQ1 PLG – 2
DQ1 CLO – 6

Discussion Question Forum

This first discussion is intended to help each student set a context for the course, establish
expectations and goals for the course, and provide insights to the instructor enabling tailoring of the
course to better fit the needs of the students. Replies to discussion questions must be well considered
and scholarly. For instructions on how to participate in these discussions, explore the tabs below.

Posting to the Discussion Forum Replying to a Classmate's Post Discussion Question Rubric

Posting to the Discussion Forum

1. Review the Discussion Question Rubric in the tab below. Also take a look at the Getting Started
Guide to find due dates and other discussion post requirements.
2. Select the Discussion Question Forum above.
3. Complete this discussion post by selecting the “Start a New Thread” button, entering a subject
title, and then answering the question above.
4. To properly post your answer, please select the “Post” button.
5. After posting your contribution, you must read what others have posted, reply to at least two of
those posts, and respond (when appropriate) to those you have responded to you.

Note: Directions on submitting your posts will also be listed within the discussion question forum.

After completing the discussion question above, select the link below to access the module assignment.

Module 1 Assignment Due Nov 2nd

Here you will find this module's required discussion question, instructions, and rubric.

Assignment Description:
Complete ALL of the bullet points below:

• Health care planners could be more effective and efficient if they used the concept of the natural
history of disease and the levels of prevention to design services that intervene at the weakest link in
the chain of progression of specific diseases. Instead, most focus on high-technology solutions to
preventable problems. Assess the characteristics of the medical care culture that encourage the latter
approach.
• Hospitals and other health care institutions, whether voluntary or for-profit, need to be financially
solvent to survive growing market pressures. Describe how this "bottom line" focus has changed the
nature of the US health care system.
• The insurance industry plays a huge role in the American health care system and absorbs a significant
portion of the health care dollar. A single payer system, whether it is a private company or the US
government, would eliminate the complex insurance paperwork burden and free substantial funds that
could be diverted to support care for the under-served. Why do you believe that so much resistance to a
concept used in every other developed country has continued in the U.S.?
• Include the time management Weekly Planner  to show when you will make room for your school work.
Please submit one APA formatted paper between 1000 - 1500 words, not including the title and
reference page. The assignment should have a minimum of two scholarly sources, in addition to the
textbook.

M1 Assignment UMBO – 4
M1 Assignment PLG – 8
M1 Assignment CLO – 6

Dropbox

Assignment Instructions and Specifications Submitting Your Work Assignment Rubric

Start by reading and following these instructions:

1. Study the required chapter(s) of the textbook and any additional recommended resources.
Some answers may require you to do additional research on the Internet or in other reference
sources. Choose your sources carefully.
2. Consider the discussion and the any insights you gained from it.
3. Review the Assignment Rubric and the specifications below to ensure that your response aligns
with all assignment expectations.
4. Create your Assignment submission and be sure to cite your sources, use APA style as
required, check your spelling, and review the rubric.

The following specifications are required for this assignment:

 Length: 1000- 1500 words; Word count does not include the time management Weekly Planner
 Structure: Include a title page and reference page in APA style. These do not count towards the
minimal word amount for this assignment.
 References: Use the appropriate APA style in-text citations and references for all resources
utilized to answer the questions. Include at least two (2) scholarly sources to support your
claims.
 Format: Save your assignment as a Microsoft Word document (.doc or .docx).
 File Name: Name your saved file according to your first initial, last name, and the module
number (for example, “RHall Module 1.docx”)

After completing the assignment above, select the link below to access the next module overview.
 2nd class

N537 - Health Care Informatics

Required Text Books:
Publication Manual of the American Psychological Association (7th Edition) , 7th Edition
ISBN: 9781433832154 

Nursing Informatics and the Foundation of Knowledge (4th Edition) , 4th

ISBN: 978-1284121247 

Schedule attached by due dates. I will be updating you on daily/weekly basis.

Module 1 overview
This module provided an overview of nursing science and how nursing science relates to typical
nursing practice roles, nursing education, and nursing research. The organizing conceptual framework
for this course, the Foundation of Knowledge model, was introduced. After establishing this critical
groundwork, information systems were introduced, including the development, use, and management
of an organization’s IT infrastructure. A primary role of the nurse administrator is quality decision-
making and problem-solving skills, which are vital to the development of effective, valuable information
system. This module also provides in-depth coverage of computer science, including innovations in
computer hardware, software and architecture. These elements offer vital and valuable tools for both
nurses and clients to engage in on-screen and online activities that provide rich access to data and
information. Cognitive science, the interdisciplinary field that studies the mind, intelligence, and
behavior from an information processing perspective was also included as a fundamental aspect of
this module.

 Module Goals

 Define nursing science and its relationship to various nursing roles and nursing informatics.
 Analyze the Foundation of Knowledge model as the organizing conceptual framework for the
book.
 Assess the relationship between knowledge acquisition knowledge processing knowledge
generation, knowledge dissemination, and wisdom.
 Reflect on the progression from data to information to knowledge.
 Explore data acquisition or input and processing or retrieval, analysis, and synthesis of data.
 Analyze how computer systems function as tools for managing information and generating
knowledge.
 Assess how our minds process and generate information and knowledge.

Goals Alignment:
University Mission Based Outcomes - 1, 2, 4, 5

Program Learning Goals - 1, 3, 4, 5

Course Learning Objectives - 1

 Learning Materials
Required Resources: 

 McGonigle, D. & Mastrian, K. (2017). Nursing informatics and the foundation of knowledge (4th
ed.). Jones & Bartlett. Read Chapters 1, 2, 3, & 4.

Additional Resources: 

 PowerPoints
o Chapter 1: Nursing Science and the Foundation of Knowledge
o Chapter 2: Introduction to Information, information science, and information systems.
o Chapter 3: Computer Science and the Foundation of Knowledge Model
o Chapter 4: Introduction to Cognitive Science and Cognitive Informatics

After reviewing the information above, complete the  discussion question  for this module. You can select
the button below, or use the Content link at the top of the page to navigate through this course.

Discussion Question
Here you will find this module's required discussion question, instructions, and rubric.

Discussion Question:
Information systems support and facilitate the functioning of people to enhance and evolve nursing
practice by generating knowledge. This knowledge represents five rights: the right information,
accessible by the right people in the right settings, applied the right way at the right time. It is also the
struggle to integrate new knowledge and old knowledge to enhance wisdom. If clinicians are inundated
with data without the ability to process it, this yields too little wisdom. That is why it is crucial that
clinicians have viable information systems at their fingertips to facilitate the acquisition, sharing and
utilization of knowledge while maturing wisdom; it is a process of empowerment. If you could only
meet FOUR of the Rights, which one would you omit, and why? Also, provide your rationale for each
Right you chose to meet.

DQ1 UMBO –1, 2, 4, 5

DQ1 PLG –3, 5
DQ1 CLO –1

Discussion Question Forum

This first discussion is intended to help each student set a context for the course, establish
expectations and goals for the course, and provide insights to the instructor enabling tailoring of the
course to better fit the needs of the students. Replies to discussion questions must be well considered
and scholarly. For instructions on how to participate in these discussions, explore the tabs below.
Posting to the Discussion Forum Replying to a Classmate's Post Discussion Question Rubric

Posting to the Discussion Forum

1. Review the Discussion Question Rubric in the tab below. Also take a look at the Getting Started
Guide to find due dates and other discussion post requirements.
2. Select the Discussion Question Forum above.
3. Complete this discussion post by selecting the “Start a New Thread” button, entering a subject
title, and then answering the question above.
4. To properly post your answer, please select the “Post” button.
5. After posting your contribution, you must read what others have posted, reply to at least two of
those posts, and respond (when appropriate) to those you have responded to you.

Note: Directions on submitting your posts will also be listed within the discussion question forum.

After completing the discussion question above, select the link below to access the module assignment.

Module 1 Assignment
Here you will find this module’s required assignment description,
specifications and rubric
find this module's required assignment description, specifications, and rubric. Assignment
Description:
Based on what you have learned so far this week, create a PowerPoint presentation with audio
explanation and 1-2 minutes of detailed speaker notes for each slide that addresses each of the
following points/questions. Be sure to completely answer all the questions for each bullet point. Use
clear headings that allow your professor to know which bullet you are addressing on the slides in your
presentation. Support your content with at least four (4) citations throughout your presentation. Make
sure to reference the citations using the APA writing style for the presentation. Include a slide for your
references at the end. Follow best practices for PowerPoint presentations related to text size, color,
images, effects, wordiness, and multimedia enhancements which is located in the Resources tab.

1. Title Slide (1 slide)

2. Imagine a clinical scenario and analyze the complements using the Foundation of Knowledge Model.
How did you acquire knowledge? How did you process knowledge? How you generate knowledge? How
did you disseminate knowledge? How did you use feedback and what was the effect of feedback on the
foundation of your knowledge? (4 slides)
3. How would you describe cognitive informatics (CI)? Reflect on a plan of care that you have
developed for a patient. How could cognitive informatics be used to create tools to help with this
important work? (2-3 slides)
4. Take the self-assessment test on computer competencies offered at this URL: http://www.nursing-
informatics.com/niassess/plan.html . How did you score? What are your areas of strengths and
weaknesses related to computer competencies? (2-3 slides)
5. References (1 slide)

M1 Assignment UMBO – 1, 2, 4, 5
M1 Assignment PLG –1, 4, 5
M1 Assignment CLO –1

Start by reading and following these instructions:

1. Study the required chapter(s) of the textbook and any additional recommended resources.
Some answers may require you to do additional research on the Internet or in other reference
sources. Choose your sources carefully.
2. Consider the discussion and the any insights you gained from it.
3. Review the Assignment Rubric and the specifications below to ensure that your response aligns
with all assignment expectations.
4. Create your Assignment submission and be sure to cite your sources, use APA style as
required, check your spelling, and review the rubric.

The following specifications are required for this assignment:

 Length: 15-17 slides; answers must thoroughly address the questions in a clear, concise
manner
 Structure:
o Title slide and reference slides in APA style: at least 2 slides
o Clinical Scenario: at least 4 slides
o Cognitive Informatics: at least 2 slides
o Self-assessment: at least 2 slides
o Additionally, because a good presentation has few words on the slides include a script
with the verbiage you would say when presenting; script should be a minimum of 50
words per slide.
 References: Use the appropriate APA style in-text citations and references for all resources
utilized to answer the questions. Include at least four (4) scholarly sources to support your
claims.
 Format: Save your assignment as a Microsoft PowerPoint document and a Word document
(.pptx) and (.doc or .docx) or Open Office Impress.
 File Name: Name your saved file according to your first initial, last name, and the module
number (for example, “RHall Module1.pptx”)

After completing the assignment above, select the link below to access the next module overview.