Best Writer

answering questions about a research based article and a
non researched based article that would be used if was writing a
research paper on the picot question

Pico: In inpatients in acute care units, does an increased nurse
staffing, compared to low staffing rates, improve health outcomes?

Executive Summary

**Quick summary of analysis, problem statement, strategy that we picked, WIG we are going to measure, and a little about how we are going to implement that with specific initiatives and lead measures.

The summary mostly allows people to get a sense of the business where the company is going and how we are going to implement our strategy (without having to read the whole report).

As the Director of Health Information in a large health system, you have been tasked to prepare for a compliance audit by the CEO and Board of Directors. This will involve scheduling a departmental meeting, but many of the employees telecommute. In order to ensure all employees are able to participate, you will need to plan a virtual meeting.

1)Distinguish the difference between a classification system and medical vocabulary and terminology and explain what a HIPAA code set is. Choose three (3) classification systems identifying the functions and relationships among these systems. (Examples include but are not limited to ICD-10-CM/PCS, ICD-O-3, ICF, ICPC-2)

2)Construct two (2) policies, processes and procedures to ensure the accuracy of coded data based on established guidelines and provide justification as to their importance.

3)One of the policies and processes listed in #2 should include managing coding audits incorporating audit principles and reporting processes

Case Discussion: Pulmonary Part One

Setting: A free medical clinic that provides health care for the under-insured.
Your next patient, Michelle G., age 40, is a regular of the clinic and the last patient of the day. The chart states she is here for recent episodes of shortness of breath.

You enter the room and Michelle G is dressed in work clothes, standing up looking at a health poster on the wall. You introduce yourself and ask her what brings her to the clinic today. “I think I may have a cold. I’ve been having a hard time breathing on and off lately.”

HPI: “I notice I’m short of breath mostly at work but by the time I get home feel fine. No episodes of shortness of breath on the weekends that I can recall. But a few hours back at work and I start to feel like I cannot catch my breath again. A few months ago this happened and it was so bad I left work and went to urgent care where they gave me a breathing treatment of some kind and sent me home on an antibiotic. I would like you to give me another antibiotic. She denies sputum. No new allergy triggers noted. She denies heartburn.

PMHx: Michelle G. reports her overall health as good.

Childhood/previous illnesses: eczema as a child

Chronic illnesses: Has seasonal allergies, spring is her worst season. Was seen by an allergy specialist ten years ago, Took allergy shots for five years with great results, now only takes Zyrtec when needed.

Surgeries: Cholecystectomy

Hospitalizations: childbirth x 3.

Immunizations: up-to-date on all vaccinations.

Allergies: Strawberries-Rash; erythromycin- severe GI upset.

Blood transfusions: none

Drinks alcohol socially, smoked 1 pack per week for 3 years in her 20’s. Denies illicit drug use.

Sleeps 6 to 7 hours a night. Exercises four to five days per week.

Current medications: Multivitamin, Zyrtec

Social History: Married, lives with husband and 3 children. Worked in advertising up until 18 months ago when she got laid off. In order to help with the household finances she took a job as a Baker’s assistant at an Artisan Bread Bakery. She arrives at 4 a.m. every morning to begin baking breads/pastries for the day.

Family History: Children are healthy- daughter currently has a sinus infection. Parents are deceased. Mother at age 80 from congestive heart failure. Father died at age 82 from lung cancer, diagnosed when metastasized to brain. PGM: died from unknown causes, PGF: Stroke at age 82. MGM: died at 83, had HTN, atherosclerosis and many heart attacks. PGF: died at 71 from complications of COPD.

PE: Height 5’10”, Weight 140 pounds

Vital signs : BP 130/70, T 98.0, P 75, R 18 Sao2 98% on RA

General: 40-year-old Caucasian female appears stated age in no apparent distress. Alert, oriented, and cooperative. Able to speak in full sentences and does not appear breathless. Skin: Skin warm, dry, and intact. Skin color is pale pink, no cyanosis or pallor.

HEENT: Head normo-cephalic. Hair thick and distribution even throughout scalp.

Eyes: Sclera clear. Conjunctiva: white, PERRLA, EOMs intact.

Ears: Tympanic membranes gray and intact with light reflex noted. Pinna and tragus non-tender

Nose: Nares patent with thin white exudate noted. Mucosa appears boggy and pale. Deviated septum noted. Sinuses non-tender to palpation.

Throat: Oropharynx pink, moist, no lesions or exudate. Tonsils 1+ bilaterally. Teeth in good repair, no cavities noted. Tongue smooth, pink, no lesions, protrudes in midline. Neck supple. No cervical lymphadenopathy or tenderness noted. Thyroid midline, small and firm without palpable masses.

Lungs: Lungs clear to auscultation bilaterally. Respirations unlabored. Slight wheezing noted inspiration and on forced expiration. Wheezing does not clear with forced cough.

CV: Heart S1 and S2 noted, RRR, no murmurs noted, no displaced PMI. Peripheral pulses equal bilaterally, no peripheral edema

Abdomen: Abdomen round, soft, with bowel sounds noted in all four quadrants. No organo-megaly noted.

Diagnostic Testing:

Review of the patient’s EMR reveals an old CXR from last winter when she had Bronchitis.

CXR Report: 11/7/2016

This is a PA and lateral chest radiograph on Ms. Michelle X, performed on 11/7/16. Clinical information: low grade fever, productive cough, malaise.

Findings: Cardio-mediastinal silhouette is normal. B/L lung fields are clear. There are no effusions. The bony thorax appears normal. No opacities or fluid. Diaphragm normal.

Impression: Normal chest radiograph without pathology.

Click here to view CXR (Links to an external site.) (Links to an external site.)

You suspect an obstructive/restrictive process and order Pulmonary Function Testing

Pre-Bronchodilator Challenge- FEV1/FVC 60%, FVC decreased

Post Bronchodilator Challenge- FEV1/FVC 75%

Discussion Questions Part One:
What is your primary diagnosis for Michelle given the pattern of occurrence of symptoms, exam results, and recent history? Include the rationale and a reference for your diagnoses.
What is your first-line treatment plan for Michelle including medications, labs, education, referrals, and follow-up? Identify the drug class of each medication you prescribe and exactly what symptom it is targeted to address.
Address Michelle’s request for an antibiotic.

People have seen consistent rates of inflation over the past several decades in healthcare. This inflation has been driven by increases in costs for health insurance, technology utilization, and demand for qualified providers and facilities. Consider the many areas in which the U.S. healthcare system has seen steady rises in costs. Imagine you are a financial manager for an organization that has seen significant cost increases in the past few years or decades in an area related to your organization (e.g., supplies, technology, outside services). Prepare an outline for a proposal on how to help reduce or minimize these costs.Use your text as a resource for this assignment plus one other resource from the library. Please cite your sources. The outline should include the following:

Cost that is being looked at
History of increases
Potential future increases
1–2 suggestions for improvement or change

Disc 1- Group Dynamics -One page single spaced /font 12
Complete The Case of Marie multimedia presentation and identify Marie’s relevant family members in relation to the case study. The identified family members will be the focus of your assignment for this unit. What issues do the family members need to deal with? How do the family members fit into the three group dynamic categories of: Immediate physical environment? Organizational or agency environment? Social system?
Disc 2- Group Dynamics and Environment- One page single spaced.
After reviewing the Bonebright (2010) article, 40 Years of Storming: A Historical Review of Tuckman’s Model of Small Group Development, please describe the following:
What are the stages of group development as related to its position within its environment and explained by Tuckman? Give an example pertaining to the group selected in the previous discussion for this unit.

This assignment is intended to give you an opportunity to search for relevant research that can help you understand how the changing nature of education and technological advances may influence our field in the future.
The research i chose is attached already for you!
here are some links you might want to utilize
https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/apa_sample_paper.html
https://retractionwatch.com/
https://docs.google.com/document/d/1JjwHx55cNHV0Xfa_J05tE7mm7wI2ixNNHMeZYLtevA8/edit
Find an appropriate research from the NVC database that correlates with your interest within the field and the sub-discipline you have chosen to study. You must be able to answer all “12 Steps” for this research assignment.
Write your literature review in APA format, and be sure to explain how this information can help influence our field in the future due to the information provided and the changing nature of education and technological advances.
Attach the research article you used for this assignment in PDF format along with your APA literature review. (Do not attach the link as this will not be accepted, & will result in a zero for the assignment).

Curve-fitting Project – Linear Model (due at the end of Week 5)

Instructions

For this assignment, collect data exhibiting a relatively linear trend, find the line of best fit, plot the data and the line, interpret the slope, and use the linear equation to make a prediction. Also, find r2 (coefficient of determination) and r (correlation coefficient). Discuss your findings. Your topic may be that is related to sports, your work, a hobby, or something you find interesting. If you choose, you may use the suggestions described below.

A Linear Model Example and Technology Tips are provided in separate documents.

Tasks for Linear Regression Model (LR)

(LR-1) Describe your topic, provide your data, and cite your source. Collect at least 8 data points. Label appropriately. (Highly recommended: Post this information in the Linear Model Project discussion as well as in your completed project. Include a brief informative descriiption in the title of your posting. Each student must use different data.)

The idea with the discussion posting is two-fold: (1) To share your interesting project idea with your classmates, and (2) To give me a chance to give you a brief thumbs-up or thumbs-down about your proposed topic and data. Sometimes students get off on the wrong foot or misunderstand the intent of the project, and your posting provides an opportunity for some feedback. Remark: Students may choose similar topics, but must have different data sets. For example, several students may be interested in a particular Olympic sport, and that is fine, but they must collect different data, perhaps from different events or different gender.

(LR-2) Plot the points (x, y) to obtain a scatterplot. Use an appropriate scale on the horizontal and vertical axes and be sure to label carefully. Visually judge whether the data points exhibit a relatively linear trend. (If so, proceed. If not, try a different topic or data set.)

(LR-3) Find the line of best fit (regression line) and graph it on the scatterplot. State the equation of the line.

(LR-4) State the slope of the line of best fit. Carefully interpret the meaning of the slope in a sentence or two.

(LR-5) Find and state the value of r2, the coefficient of determination, and r, the correlation coefficient. Discuss your findings in a few sentences. Is r positive or negative? Why? Is a line a good curve to fit to this data? Why or why not? Is the linear relationship very strong, moderately strong, weak, or nonexistent?

(LR-6) Choose a value of interest and use the line of best fit to make an estimate or prediction. Show calculation work.

(LR-7) Write a brief narrative of a paragraph or two. Summarize your findings and be sure to mention any aspect of the linear model project (topic, data, scatterplot, line, r, or estimate, etc.) that you found particularly important or interesting.

You may submit all of your project in one document or a combination of documents, which may consist of word processing documents or spreadsheets or scanned handwritten work, provided it is clearly labeled where each task can be found. Be sure to include your name. Projects are graded on the basis of completeness, correctness, ease in locating all of the checklist items, and strength of the narrative portions.

Here are some possible topics:

Choose an Olympic sport — an event that interests you. Go to and collect data for winners in the event for at least 8 Olympic games (dating back to at least 1980). (Example: Winning times in Men’s 400 m dash). Make a quick plot for yourself to “eyeball” whether the data points exhibit a relatively linear trend. (If so, proceed. If not, try a different event.) After you find the line of best fit, use your line to make a prediction for the next Olympics (2014 for a winter event, 2016 for a summer event ).
Choose a particular type of food. (Examples: Fish sandwich at fast-food chains, cheese pizza, breakfast cereal) For at least 8 brands, look up the fat content and the associated calorie total per serving. Make a quick plot for yourself to “eyeball” whether the data exhibit a relatively linear trend. (If so, proceed. If not, try a different type of food.) After you find the line of best fit, use your line to make a prediction corresponding to a fat amount not occurring in your data set.) Alternative: Look up carbohydrate content and associated calorie total per serving.
Choose a sport that particularly interests you and find two variables that may exhibit a linear relationship. For instance, for each team for a particular season in baseball, find the total runs scored and the number of wins. Excellent websites: and

Hello this essay is about moving a specific cargo from one place to another (freight forwarding).
This specific essay requires you to use the incoterm DDP. This incoterm means the seller assumes all responsibilities and costs for delivering the goods to the named place of destination. The seller must pay both export and import formalities, fees, duties and taxes.

The scenario you will use to write this essay:
Mole Creek Wines (MCW) is a boutique winery located in the township of Deloraine, Tasmania. The winery is negotiating a sales contract for the sale of 22,000 bottles of Tasmanian wine with Empanada Hospitality Supplies (EHS) located in St Louis, Missouri, USA. Each bottle will contain 0.75 litres of pinot noir. The ICC Incoterms 2020 used for sale will be DDP (Downtown St Louis).

Since MCW have no prior experience of exporting wine, they are seeking detailed information on the shipment process so that they can factor the shipment costs and risks in their negotiations with MHS. Hence MCW have asked you – a local freight forwarder – to provide advice on the following:
1. The quickest, safest and most economical method of transport from Deloraine to St Louis
2. Selection and engagement of carriers
3. Packing considerations
4. Compliance with legal, safety and security matters
5. Customs clearance
6. Documentation
7. Risk mitigation

What advice will you give to MCW? Justify your answer using real-world information and data where publicly available. Where any assumptions are made, they should be clearly stated together with their rationale.

Criteria 1: Recommend suitable, viable and reasonable options for freight forwarding.
Criteria 2: Justify recommendations for freight forwarding using real-world data and credible assumptions.

For this assignment, you must address the critical elements listed below.
I. Methods: You will research and choose methods to measure the progress of your project goals. In your research, look for current methods for assessing projects similar to your own. (My project is on creating an educational campaign aimed at reducing stigmas associated with seeking and utilizing mental health services)

A. Select appropriate methods to measure the progress for meeting the project goals based on the research conducted.
B. Defend the chosen methodological procedures to evaluate project goals. In your response, consider why these are the best methods to use based on your project goals and target population. (The target population is North Texas residents)
C. Develop a timeline for implementing your methods.