To prepare for this Discussion, complete the readings in your Learning Resources. Think about a significant purchase you have made in the past. How did you pay for it? Did you shop around for the best deal? What was the impact on your own budget and finances?

Post a comprehensive response to the following:

• Share an example of something that you had to budget and plan to pay for. How does your personal decision-making process differ from what you learned about planning and budgeting in health care?
• How do most individuals monitor and control their cash flow? Provide specific examples.
• How does the monitoring of cash flow of a health organization compare to the monitoring the cash flow for individuals handling their personal finances? Explain your choice.

Be sure to support your work with specific citations from this week’s Learning Resources and/or additional scholarly sources as appropriate. Your citations must be in APA format. Refer to the Essential Guide to APA Style for Walden Students to ensure your in-text citations and reference list are correct.

Nursing. Discussion: Using Competency Sets to Critique Lesson Plans

Graduate nursing education advances innovation and strengthens the leadership needed to improve healthcare delivery. Education at this level incorporates the foundational knowledge, skills, and competencies needed to thrive in increasingly complex clinical environments. Nursing education is undergoing major change as the profession conceptualizes master’s education and transitions advanced practice education to the doctoral level via Doctor of Nursing Practice (DNP) programs. Calls to reduce healthcare costs, persistent concerns about patient safety and the quality of care, and dramatic increases in diagnostic, therapeutic, and educational technologies all demand new thinking around the nature of graduate nursing education.

—American Association of Colleges in Nursing

Though the above quote focuses specifically on graduate nursing education, Schools of Nursing around the United States are adapting both undergraduate and graduate programs to emphasize a stronger focus on evidence-based nursing competencies. At the departmental level, this process takes much time and collaboration. Curriculum teams comprised of nurse educators, field experts, and instructional design professionals meet with schools of nursing to revamp existing curriculum plans to the competencies needed of today’s and tomorrow’s nursing students.

On a smaller scale, nurse educators are also implementing quick and effective strategies to align their current courses to evolving nursing competencies. By critiquing lessons before, during, and after instruction, nurse educators are able to assess their alignment to competency sets.

In this Discussion, you critique one of your own Lesson Plans to a competency set of your choosing.

To prepare

• Review the article, “Integrating the Institute of Medicine Competencies in a Baccalaureate Curricular Revision: Process and Strategies.” Consider how and why the nursing program adapted its curriculum to emphasize Institute of Medicine competencies.
• Review the competencies presented in this week’s Learning Resources. In addition, reflect on the competencies that you might be familiar with through your own studies and professional background. How do competencies help to guide academic and professional practice?
• Review the Lesson Plans that you have developed in this course. Select one to further investigate for this Discussion.
• Critique your lesson using a competency set. For example, if your Lesson Plan addresses interprofessional collaboration and your intended audience of learners is Master’s students, you might critique your Lesson Plan using QSEN indicators. As you conduct your critique, identify specific competencies addressed in your lesson. Then, consider ways that you might modify your lesson to prompt a deeper understanding of nursing competencies.

Questions to be addressed in my paper:        

 1. A brief description of your lesson (Pulmonary Edema) and the competency set (patient-centered care, evidence-based practice and quality improvement) that you selected.                    

2. Explain how your lesson engaged learners in one or more competencies.                                 

3. Explain whether your lesson should be modified to include a deeper understanding of these competencies and why.                             

4. Support your response by including references to your lesson, your own experiences, and this week’s Learning Resources.                                                              

Reminders:

1.      At least 2 pages

2.      Put citation and references 2011-2016.   

3.      Check my uploaded pulmonary edema lesson plan.

Required Readings

Hickey, M. T., Forbes, M., & Greenfield, S. (2010). Integrating the Institute of Medicine competencies in a baccalaureate curricular revision: Process and strategies. Journal of Professional Nursing, 26(4), 214–222. Retrieved from the Walden Library databases.

This article describes how a School of Nursing retailored its curriculum to include the Institute of Medicine competencies.

American Association of Colleges of Nursing. (n.d.). Essential series. Retrieved from http://www.aacn.nche.edu/education-resources/essential-series

At this resource, you can review the curriculum content and expected competencies of students pursuing nursing degrees. In addition, you can examine the critical changes that the AACN is taking to ensure that nursing curriculum mirrors the evolving needs of today’s and tomorrow’s patients.

National Council of State Boards of Nursing. (2013). 2013 NCLEX-RN test plan. Retrieved from https://www.ncsbn.org/2013_NCLEX_RN_Test_Plan.pdf

Aligning learning experiences with NCLEX competencies can provide nursing students with the background that they will need to successfully pass the NCLEX. Browse this document to view the overarching competencies tested on the NLCEX examination.

National League for Nursing. (2011). Faculty programs & resources: Nurse educator core competencies. Retrieved from http://www.nln.org/facultyprograms/competencies/educator_core_competencies.htm

Use this website to view NLN core competencies and nurse educator certification documents.

Quality and Safety Education for Nurses. (2012). Graduate KSAS. Retrieved from http://qsen.org/competencies/graduate-ksas/

Use the links provided at this website to review QSEN competencies.

I. Answer at least one of the following discussion questions in the respective thread of the Module 7 – Deregulation Today Discussion Board forum.

• Topic 1 – Airports
  Explain how deregulation has impacted airports and their administration in multiple ways, including the numbers of passengers, environmental concerns, funding, gate control, hub and spoke concentrations, and management methodology.
• Topic 2 – Airport Funding
  Outline how state and local governments are involved in airport operations and funding.
• Topic 3 – Airport Noise and Capacity Act of 1990
  The Airport Noise and Capacity Act of 1990 was the first comprehensive noise regulation statute. This was said to be the most significant piece of aviation legislation since the deregulation act. What was its impact on the aviation industry?
• Topic 4 – Post 9/11 Legislation
  Discuss how the Air Transportation Safety and System Stabilization Act and the Homeland Security Act both financially assisted the airlines and increased their financial burden

 Case Study: Consulting for the Caring Angel Hospital

Imagine that you are a senior consultant at Practical Health Care Consulting firm. Your supervisor has instructed you to spend three (3) months at the Caring Angel Hospital to help improve the quality of care, add value to the organization, improve employee morale, design an efficient organizational chart, create a strong team environment, and create the hospital’s competitive advantage. The hospital has traditionally made losses year after year. Furthermore, it is not performing well financially, and the banks are not willing to lend it large sums of money for more effective marketing.

After spending two (2) months within the hospital, you are very happy with your progress, and you think you are capable of acquiring more patient base and expanding the hospital market. However, with a closer look, you notice that your patients are still hopping from one specialized hospital to another in search of various specialized treatments. You also notice that the seats are not comfortable in the waiting area, and the patients continuously show up for appointments on the wrong dates. The nurses and the employees are not smiling during patient conversations, and everyone looks for ways to blame others for failures in the patient treatment process. Everyone seems to work alone and hide what they do from their colleagues.

At the end of the three (3) month period, you must provide a report with your recommended strategies designed to help Caring Angel Hospital achieve its goals.

Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.

Write a four to six (4-6) page paper in which you:

1. From a consulting perspective, propose the major steps that Caring Angel Hospital could take to achieve each of the following goals:
   1. Improve the quality of care
   2. Add value to the organization
   3. Improve employee morale
   4. Design an efficient organizational chart
   5. Create a strong team environment
   6. Create the hospital’s competitive edge.
2. Recommend one (1) approach that the hospital could use for acquiring a larger market share given the prevailing financial circumstances. Justify your recommendation.
3. Investigate at least two (2) value-added services that Caring Angel Hospital could offer to strengthen its value proposition. Provide at least two (2) examples of the advantages of these value-added services to the hospital.
4. Use four (4) recent (within the last five [5] years) quality academic resources in this assignment.
   Note: Wikipedia and other websites do not qualify as quality academic resources.

Your assignment must follow these formatting requirements:

• Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
• Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

 1- When we hear “electronic health record,” we often think of Epic. While this EHR is on the list of the 10 most common electronic health record platforms, there are numerous other EMR/EHRs on the “top 10” list. This assignment andactivity will provide an opportunity to explore one of the “top 10’s” and to share our discoveries in a collaborative fashion. Perhaps Johnson Medical Clinic will want to pursue the purchase of one of these EMR/EHRs!  Instructions: Select one of the following EMR/EHRs from the list. Explore the company’s website and provide responses in paper format to the following:

• Website URL
• Describe the EMR/EHR.
• Provide what you deem to be the benefits as well as the challenges in using this EMR/EHR.
• Provide one practical application use of this EMR/EHR in your medical administrative specialist role.
• You paper must be a minimum of one-page, single spaced, with 1″ margins. Use 11 pt. Calibri font. 

EHR/EMRs:

• Cerner EMR
• GE Centricity EMR
• Care Cloud EHR
• Athenahealth EHR

Save your paper and name it Your Last Name Electronic Health Record Paper (for example, Susan Smith’s file would be named Smith Electronic Health Record), Submit your paper through this link. The grading rubric is attached. An accurate paper earns 25 points.  

 2- Let’s share our discoveries! Post to this blog a brief synopsis about your assigned EMR/EHR. In addition, incude the URL for your EMR/EHR. Next, respond to one (1) of your class colleagues’ posts. The Wiki/Blog rubric is attached. This collaboration activity earns 15 points.