Compose a 3 page essay with a few in text references.

Subject- Drug addicts OR alcoholics in drug treatment centers (your choice).

 

Essay Content:

Intro

Identify State and federal policies and discuss their impact on the clients identified (Pick state of your choice).

Provide suggestions for the drug treatment center.

Discuss possibilities to advocate for the clients.

Conclusion

NO Plagiarism Please!

Guidelines With Scoring Rubric
Purpose
The purposes of this assignment are to (a) identify and articulate key concepts of budget-development strategies for your cardiac unit at Saint Louis Medical Center (SLMC), which includes evaluating variance analyses as they apply to nursing budgets within healthcare organizations (CO 2); (b) formulate a revenue-and-expense budget for a nursing unit within a healthcare organization (CO 1); and (c) communicate the information in a clear, succinct, and scholarly manner.

Course Outcomes
Through this assignment, the student will demonstrate the ability to do the following:
(CO 1) Formulate a revenue and expense budget for a nursing unit within a healthcare organization. (PO 2 and PO 8)
(CO 2) Evaluate variance analyses as they apply to nursing budgets within healthcare organizations. (PO 4)
Due Date: Sunday 11:59 p.m. MT at the end of Week 5
(Note: This assignment will be submitted to Turnitin (TII) automatically through the Chamberlain Dropbox.
Total Points Possible: 200
REQUIREMENTS:
1. This paper will be graded on quality of information, use of citations, use of standard English grammar, sentence structure, and organization, based on the required components.
2. Create this assignment using Microsoft Word, which is the required format for all Chamberlain documents. You can tell that the document is saved as an MS Word document because it will end in .docx.
3. Submit the paper to the appropriate CCN Dropbox by 11:59 p.m. MT on Sunday of the week due. Any questions about this paper may be discussed in the weekly Q & A Discussion topic.
4. The length of the paper is to be no greater than three pages, excluding title page and reference page. Extra pages will not be read by the instructor and will not count toward your grade.
5. APA format (6th edition) is required in this assignment, including a title page and a reference page. Use APA level 1 headings for the organizational structure of this assignment. Remember that the introduction does not carry a heading that labels it as a level heading in APA format. The first part of your paper is assumed to be the introduction. See the APA manual for details. See the resource in Doc Sharing called Guidelines for Writing Professional Papers. Use the suggested format and headings to organize your assignment:
a. Include an introduction (do not label it as a heading in APA format)
b. Identify steps to develop a budget
c. Analysis of sample budget development
d. Strategies to improve budget development
e. Supporting evidence
f. Conclusion

PREPARING THE PAPER
As the nurse executive of a healthcare organization, you were provided a sample budget for the cardiac unit at SLMC. You must analyze the proposed budget and make recommendations to improve the development of the budget. Evidence will be used to support your strategies.
Note: Use the resources in Doc Sharing related to SLMC to assist in completion of this assignment; Week 5 Budget Development Background Information and SLMC information as needed.
1. Clearly introduce your budget-development assignment in the introduction paragraph, including a sentence that states the purpose of your paper.
2. Clearly articulate the steps you would take, as the nurse executive, to develop a budget for your cardiac unit at SLMC.
3. Clearly analyze the proposed sample budget developed for the cardiac unit at SLMC.

4. Clearly articulate your strategies to improve the budget development for the cardiac unit at SLMC.
5. Include of a minimum of three sources of scholarly, empirical evidence that support your budget strategies.
6. Provide conclusion statements for your overall assignment content.
7. The paper will be a length of three pages maximum, excluding title and reference page(s).
Note: If you go over the paper length, the information will not be graded by the instructor.
8. Title and reference page(s) must be in APA format (6th edition).
9. Use 12-point Times New Roman font and one-inch margins on all sides of the paper.

Benefits of Budgeting
As we begin this week’s lesson, it is important to discuss how pro formas and spreadsheets can be beneficial to the nurse leader in relation to the financial management of a healthcare organization. Last week’s content provided an overview of forecasting and how this can also be beneficial in the financial management of a healthcare organization.
Budgeting Process
The budget is a formalized plan prepared by management that reflects the anticipated expectations for a certain area. Typically, this process can take several months to complete, and a budget calendar is usually provided by the finance department to ensure that needed information is submitted by the leader within the needed timeframe to allow senior leadership to approve and release the final budget within the set timeframe. A timeline builds in time the leader may need to provide additional information to justify a certain budget-item request to senior leadership. A sample budget timeline can be viewed in your textbook reading this week. The rationale for a new budget item or an increase in a budget line item may be clear to us, as the leaders, but may not be clear to senior leadership.
When developing a budget, aspects of the overall budget must be considered and reviewed carefully to ensure quality of patient care is not compromised. Reimbursements for organizations are becoming more closely tied to outcomes to providing high-quality care that is at the forefront of healthcare leaders (Finkler, Jones, & Kovner, 2013). Some leaders and organizations may also adopt a specific performance budget to target a specific goal or multiple goals for an area or organization. For example, an organization may wish to increase its patient-satisfaction scores throughout the organization. Leaders may be directed to allot more specific resources in this area for a specific position, incentives, or other items they feel may enhance this specific outcome measure. An example of this type of a performance budget is highlighted in your textbook reading this week.
Some quantified areas of a budget may include the number of patient days or other expected specific service-area measures. The leader considers the goals, mission, vision, philosophy, policies, and organization-wide assumptions of the healthcare organization when preparing the annual budget.Generally, the organization will provide a set of specific, measurable objectives the budget should accomplish. This information should be communicated to leaders before the budget process is initiated. Often, the final budget is a compromise between the leader and senior leadership.
Preparing an annual budget requires the leader to reflect critically on all elements of the budget to determine if any changes are required for the next budget. For example, with the new goal of becoming a Magnet-designated facility, the budget for continuing education, clinical ladders, and time off to attend shared governance meetings must be considered in the future budget.
When the operating budget is developed, some of this financial information is reflected in the pro forma for the specific department or area. When the leader reviews monthly financial information, it provides an opportunity to readjust specific areas as needed to meet budget or exceed the budget, or use fewer dollars than anticipated to ensure financial targets are met by the end of the year. Reviewing the financial information after the budget is developed and approved is part of the budget-control process.
Pro formas
As we have discussed previously, the budgeting process is very complex, and there are many steps and tools a nurse leader can utilize to help ensure the most accurate budget can be achieved, whether it be keeping on track with your current budget or projecting for the next fiscal year. Pro forma financial statements are a summary of a financial organization’s position at a given time (Finkler, Jones, & Kovner, 2013). Most organizations utilize a financial-summary statement in some format, which typically includes their financial position at the end of the fiscal year, revenues and expenses, and cash receipts and payments.
One of the most common types of financial statements is the balance sheet. The balance sheet may also be termed the statement of financial position. The pro forma balance sheet indicates, for each future year, what the end-of-the-year financial-projections results will reflect. Generally, any projections longer than 3 years would not be an accurate reflection due to the changes that occur within healthcare.
Summary
This week, we discussed pro forma concepts and how they can assist the nurse leader in his or her role. Next week, we will discuss various aspects of financial risk the nurse manager may encounter within a healthcare organization.

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Category Points % Description
Introduction 30 15% Introduction clearly introduces your budget- development assignment and purpose of assignment.
Steps to budget development 25 12.5% Steps to develop budget are clearly articulated.
Analysis of sample budget 30 15% Analysis of the proposed sample budget is clearly articulated.
Strategies to improve budget development 30 15% Strategies to improve the budget development are clearly articulated.
Evidence to support budget strategies 30 15% Minimum of three scholarly, empirical evidence sources supporting your budget strategies.
Conclusion 30 15% Concluding statements summarizing content are present.
Text, title page, and references are consistent with APA format 10 5% Text, title page, and references are consistent with APA format.
Ideas and information from other sources are cited correctly 10 5% Ideas and information from other sources are cited correctly.
Rules of grammar, word usage, and punctuation are followed 5 2.5% Rules of grammar, word usage, and punctuation are followed.
Total 200 100
A quality assignment will meet or exceed all of the above requirements.

NR533 Week 5 Budget Development Assignment: Background Information

Proposed Salary Budget for Cardiac Unit at SLMC

To develop a budget, you would take the following steps:

1. Establish Hours Per Patient Day (HPPD) on the cardiac unit

a. Calculate the total care hours required for the year:
# Of Patient Days X Average Care Hours per 24 Hour Period = Total Care Hours
10,000 8.0 = 80,000
Total care hours required for the year

b. Calculate the hours of care per patient day (HPPD):
Total Care Hours Required for the Year / Number of Patient Days
80,000 / 10,000 = 8.0 care hours

(Note: Midpoint for care hours in a med-surg unit = 7.4; midpoint for patient care hours in an ICU = 14-16.)

2. Determine the Cardiac Unit’s Expected Census

a. Determine daily census and occupancy rate of unit:
Patient Days / 365 days per year
10,000 / 365 = 27.4 patients per day
Total beds in cardiac unit = 30
Occupancy = 27.4 patients per day / 30 beds X 100 = 91.3%

3. Apply HPPD to Census and Determine Full-Time Equivalents (FTEs)

a. Determine FTE requirements for number of expected patient care hours:
Total Care Hours / 1,768 productive hours per FTE
(1,768 = 85% of 2,080;
40 hours per week X 52 weeks per year = 2,080;
Less vacation, sick, education time)

80,000 / 1,768 = 45.25 FTEs

The other way to calculate FTE would consist of:

Average Daily Census X HPPD X 365 day/year
Number of Productive Hours per Employee

27.4 X 8.0 X 365 = 45.25 FTEs
1,768

4. Determine Your Needed Positions by Type and Shift

a. Calculate how many staff members are required per 24-hour period:
Divide total care hours by 365 days per year
80,000 / 365 = 219 hours of care per day

(Alternative approach: 27.4 patients per day X 8.0 HPPD = 219)

Assuming employees work 12-hour shifts:
219 / 12 = 18.25 shifts per 24-hour period .

b. Assign staff by type:
80% RN staff; 20% aides
.80 X 18.25 = 14.6 RN shifts
.20 X 18.25 = 3.7 aide shifts

c. Assign staff by shift:
Day Shift Night Shift Total
50% 50%

RNs 7.37.314.6
Aides 1.851.853.7.
18.3

Modify to determine the actual number of staff members on duty each shift—i.e., 7 RNs on days; 7 RNs on nights; 2 aides on days; and 2 aides on nights.

7 7 14
2 2 4
18

5. Incorporate All Fixed Cardiac Unit Staff Members

a. Add in fixed staff:
Nurse manager and two secretaries (one per shift)

Day Shift Night Shift Total

Manager 1 1
Secretary 1 1 2

RNs 7 7 14
Aides 2 2 4

Total 11 10 21

6. Convert Staff Positions to FTE Positions

a. Calculate FTEs by type and shift:
Divide total FTEs required by the 18.25 daily staff shifts
45.25 / 18.25 = 2.5

Each shift calls for employing 2.5 FTEs. An adequate number of FTEs are needed to provide coverage for the other 3–4 days out of the week, vacation, sick time, and education time.

Multiply 2.47 by the staff type needed per shift.
RNs days = 2.5 X 7 = 17.5
RNs nights = 2.5 X 7 = 17.5 (35 RNs)
Aides days = 2.5 X 2 = 5.0
Aides nights = 2.5 X 2 = 5.0 (10.0 aides)
Secretary days = 2.5 X 1 = 2.5
Secretary nights = 2.5 X 1 = 2.5 (5.0 secretaries)
Nurse Manager = = 1.0 (1.0 manager)
51 Total FTEs

(Note: When manager and secretaries were not included, the FTE equaled approximately 45 FTEs.)

7. Design a Template for Full-Time and Part-Time Positions on the Cardiac Unit
Note: The staffing office or finance department may already have templates or a previous copy of a budget you may use to assist with this process.

8. Calculate Labor Costs

a. Prepare Personnel Cost Budget:

On the basis of hours by type of employee, a cost budget can be prepared. You can use a spreadsheet to prepare the labor-cost budget. Incorporate hourly rate of employees (based on years of experience, full-time versus part-time, per diem), shift and weekend differentials, overtime hours accrued by employee (due to heavy workload shifts), and fringe benefits.

You are employed at a large global high-tech company that has offices worldwide in such places as Tokyo, London, Bombay, Toronto, Mexico City, Chicago, and Seattle to name a few. Although sales have been reasonable these past few months even with the global economic crises, an internal crisis exists related to employee morale being at an all-time low. There are many different beliefs on what is right and what is wrong across the board, especially when it comes to the cultural and communication differences and the technological equipment challenges. There are also concerns regarding the selfishness of the employees; where the employees do not enjoy working as a team. Your supervisor has tasked you as the as the VP of the Service Department to prepare a research paper that will communicate information and solutions as well as provide a foundation of knowledge so that you can work with your peers and employees to solve these problems. At a minimum, your research paper must:

• What steps can management take to make the teams cohesive?  Evaluate the steps that are necessary in this scenario to create high performing teams.
• Evaluate the importance of the internal environmental factors that include the cultural, language, political, and technological differences that will affect the team building process.
• What can be done to overcome the communication barriers between locations?  What are the best practices that should be implemented going forward?

Present your findings as a Word document of 3-5 pages formatted in APA style.

Submitting your assignment in APA format means, at a minimum, you will need the following:

• Title page: Remember the running head and title in all capital letters.
• Abstract: This is a summary of your paper, not an introduction. Begin writing in third-person voice.
• Body: The body of your paper begins on the page following the title page and abstract page, and it must be double-spaced between paragraphs. The typeface should be 12-pt. Times Roman or 12-pt. Courier in regular black type. Do not use color, bold type, or italics except as required for APA level headings and references. The deliverable length of the body of your paper for this assignment is 3–4 pages. In-text academic citations to support your decisions and analysis are required. A variety of academic sources is encouraged.
• Reference page: References that align with your in-text academic sources are listed on the final page of your paper. The references must be in APA format using appropriate spacing, hang indention, italics, and upper- and lower-case usage as appropriate for the type of resource used. Remember, the reference page is not a bibliography, but it is a further listing of the abbreviated in-text citations used in the paper. Every referenced item must have a corresponding in-text citation.

Assignment 2: Health Policy Proposal Analysis (Policy Brief)

Nurses engaged in the policy arena often are asked to provide information on a health care topic of interest to policy makers. This is frequently accomplished through developing a policy brief. A policy brief advocates for a particular recommendation (prior to the enactment of a policy). Learning how to write a policy brief in a clear, succinct, scholarly, and professional manner is an essential skill for advanced practice nurses.

For this Assignment, you will assess one of the recommendations from the Institute of Medicine’s “The Future of Nursing: Leading Change, Advancing Health: Report Recommendations. You will then develop a policy brief to advocate for this recommendation (the written policy brief is due in Week 7).

To prepare:

Review the Lavis et al. article on preparing and writing policy briefs provided in the Learning Resources (See attached file).
Select one of the recommendations within the IOM The Future of Nursing: Leading Change, Advancing Health: Report Recommendations to focus on for this assignment. (For this assignment, I have selected RECOMMENDATION 1, please see attached file)
Research the history of the problem behind the recommendation and what has been done to try to solve the problem.
What does the recommendation say should be done? Are there any groups, nursing and others, currently supporting work to implement the recommendation (e.g., Kaiser Family Foundation, professional organizations)? Does the recommendation suggest specific groups that should be involved in the implementation? Think critically about how the recommendation should be implemented – did the IOM get it right? What other strategies are possible to consider?
By Sunday 04/15/2018 12pm,

To complete:

Develop a scholarly and professionally written 2- to 3-page single-spaced policy brief on the recommendation you selected from the IOM report following the format presented in the Lavis et al. article (follow the exact format, including how the layout of the paragraphs, and the way the references [at least 10 scholarly references] are displayed at the end, numbered in-text and number plus citation at the end, copy the same exact format as the article please). (See attached file for the article). Include the following:
Short introduction with statement of the problem.
The selected recommendation (from the IOM Report)
Background
Current characteristics
The impact of the recommendation from the perspective of consumers, nurses, other health professionals, and additional stakeholders
Current solutions
Current status in the health policy arena
Final conclusions
Resources used to create the policy brief
Required Readings

Hyder, A., Syed, S., Puvanachandra, P., Bloom, G., Sundaram, S., Mahmood, S., … Peters, D. (2010). Stakeholder analysis for health research: case studies from low- and middle-income countries. Public Health, 124(3), 159–166.

This study demonstrates how the engagement of stakeholders in research and policy making can assist in the successful implementation of policy proposals. The authors propose that by engaging stakeholders, researchers and policy makers are provided with multiple perspectives on proposed policies, which can lead to greater success with policy adoption and implementation.

Lavis, J. N., Permanand, G., Oxman, A. D., Lewin, S., & Fretheim, A. (2009). SUPPORT Tools for evidence-informed health Policymaking (STP) 13: Preparing and using policy briefs to support evidence-informed policymaking. Health Research Policy & Systems, 71–79. doi: 10.1186/1478-4505-7-S1-S13

The purpose of a policy brief is to communicate an issue clearly and definitively to policy makers. The authors of this article propose an outline for policy briefs and also stress the importance of using research when creating a policy brief.

Lowery, B. (2009). Obesity, bariatric nursing, and the policy process: The connecting points for patient advocacy. Bariatric Nursing & Surgical Patient Care, 4(2), 133–138.

This article provides an example of nurse involvement in policy making by examining a bariatric nursing issue. The author stresses that nurses, in their patient-advocacy role, have a responsibility to be involved in the health care policy process.

Moore, K. (2006). How can basic research on children and families be useful for the policy process? Merrill-Palmer Quarterly, 52(2), 365–375.

Institute of Medicine. (2010). The future of nursing: Leading change, advancing health: Report recommendations. Retrieved from http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Recommendations.pdf

Introduced in Week 2, this IOM report highlights four key recommendations in its proposal for the future directions of the nursing profession. These recommendations focus on nursing practice, education and training, partnerships with other healthcare professionals, and workforce planning and policymaking.

National Center for Policy Analysis (2010). Ideas changing the world: Free-market health care policy. Retrieved from http://www.ncpa.org/healthcare/

The NCPA is a nonprofit, nonpartisan organization that promotes private sector solutions to public policy issues (See attached file and choose recommendation 1).

Slack, B. (2011). The policy Process. Retrieved from http://people.hofstra.edu/geotrans/eng/methods/ch9c2en.html

The author presents a policy-making framework and provides details on the four steps of that process: problem definition, policy objectives and options, policy implementation, and policy evaluation and maintenance.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Healthcare policy and advocacy: Agenda setting and the policy process. Baltimore: Author.

Note: The approximate length of this media piece is 17 minutes.

Dr. Kathleen White and Dr. Joan Stanley share their insights into agenda setting and how issues are moved forward into the policy process.

Optional Resources

Barnes, M., Hanson, C., Novilla, L., Meacham, A., McIntyre, E., & Erickson, B. (2008). Analysis of media agenda setting during and after Hurricane Katrina: Implications for emergency preparedness, disaster response, and disaster policy.

American Journal of Public Health, 98(4), 604–610.

Jennings, C. (2002). The power of the policy brief. Policy, Politics & Nursing Practice, 3(3), 261–263. doi: 10.1177/152715440200300310

Neumann, P. J., Palmer, J. A., Daniels, N., Quigley, K., Gold, M. R., & Chao, S. (2008). A strategic plan for integrating cost-effectiveness analysis into the US health care system. American Journal of Managed Care, 14(4), 185-188.

Plan, Policy, Procedure Relationship Diagram. (n.d.). Retrieved from http://www.informationsecurityintel.com/docs/Fig.%204.3.pdf

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TheLavisetal.articleonpreparingandwritingpolicybriefsprovidedintheLearningResources..pdf
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FutureofNursing2010Recommendations1.pdf

Topic: questions for nursing
Order Description
two case scenario, and each case has questions Multiple choice questions and short answer. Each answer you chose from the multiple chose you need to write a rational why you chose this answer and support it by reference not less than 5 years ago. Same with short answer questions you need to writ the answers with references. I have highlight the question by green only you need to write the answers under each questions with in text references and at the end of the paper after you answer it all make a references list.
Note, please find the references as public that my tutor can go and see it. do not chose the reference has password number to show it. Please this kind of paper should send to someone has nursing experience.