Topic: Based on the articles you have read for Week 5, please discuss the links/interrelationships between technology and sustainable tourism (elaborate on at least three points). Please refer to concepts from the readings (articles provided for Week 5 – under Modules) to support your points.
HM4003 WALDENVILLE PEDIATRIC CLINIC OVERVIEW Mission Statement Our mission is to provide our infant, child, and teenaged patients with the best and most comprehensive pediatric care possible in a family-centered environment. Our practices are dedicated to providing your family with quality care by assuring that each patient receives individual, personal attention. Positions within the Organization
The 8 positions listed are those that have already been hired in as full-time staff. Use these positions to create an organizational structure. In addition, you will need to assign at least 3 duties or responsibilities based on research that you will do on similar positions. Jennifer Adams, Billing Specialist Jasmine Turner, Medical Director Manuel Rodriguez, Director of Human Resources Bradley Unger, Practice Manager Darrell Barnes, Billing Manager Li Chen, Clinic Manager Krystal Rizzo, Chief Executive Officer Andreas Clark, Chief Financial Officer
This Assessment requires submission of 2 items: a 12-slide PowerPoint presentation and an employee schedule determining the appropriate delegation of roles and responsibilities with increased business hours.
Waldenville Pediatric Clinic Case Study: Read the following scenario and access the necessary document to complete the two items.
Waldenville has engaged you and a team of healthcare managers to consult on a new healthcare organization. Waldenville Pediatric Clinic, a new facility that will meet the healthcare needs of Waldenville’s citizens under 18, is due to open in a matter of months. You have been hired to consult on the setup and structure of the facility.
You have been asked to explain the organizational structure of the new clinic in a PowerPoint presentation for the board of trustees. Create a 12-slide presentation that maps the organizational structure of the new clinic and includes the following:
Title slide (1 slide)
Create a graphic showing the organizational structure (1 slide)
Describe the duties and responsibilities for each of the 8 positions described in the Waldenville Pediatric Clinic Overview (8 slides)
For each position, describe at least 3 duties or responsibilities that would be assigned to that person.
Note: This step requires you to do some research on similar positions in other organizations and tailor it to a Pediatric Clinic.
Describe at least two missing positions needed for the success of the organization (1 slide)
References (1 slide)
Reference at least one appropriate scholarly source in APA format.
Two years have now passed since the clinic opened successfully. The clinic has now decided to expand its hours of service to 8 p.m. each day. The additional 3 hours will require additional staffing based on the following duties and competencies needed to meet this expansion of service, both for medical personnel and for health management personnel:
Receiving and checking in patients (staff of 1)
Examining, diagnosing, and treating patients (staff of 1)
Billing patients and insurance companies (staff of 1)
Observing and recording patient behavior and counseling and educating patients and families (staff of 2)
Packaging pharmaceuticals for distribution to patients (staff of 1)
Obtaining insurance authorization from patients and maintaining patient records (staff of 1)
Ensuring all patients receive effective care (staff of 1)
Marketing the clinic’s new hours (staff of 1)
Delegate the roles and responsibilities necessary for the clinic’s expansion of business hours. Justify your delegation.
Explain why workforce motivation is especially important in this type of situation.
From a management perspective, explain at least two strategies that you would use to motivate employees who are in new or changing roles.
Compose a written comprehensive psychiatric evaluation of a patient you have seen in the clinic. Make up a patient that was depressed with anxiety
SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan.
S =
Subjective data: Patient’s Chief Complaint (CC); History of the Present Illness (HPI)/ Demographics; History of the Present Illness (HPI) that includes the presenting problem and the 8 dimensions of the problem (OLDCARTS or PQRST); Review of Systems (ROS)
O =
Objective data: Medications; Allergies; Past medical history; Family psychiatric history; Past surgical history; Psychiatric history, Social history; Labs and screening tools; Vital signs; Physical exam, (Focused), and Mental Status Exam
A =
Assessment: Primary Diagnosis and two differential diagnoses including ICD-10 and DSM5 codes
P =
Plan: Pharmacologic and Non-pharmacologic treatment plan; diagnostic testing/screening tools, patient/family teaching, referral, and follow up
Psychiatric SOAP Note Rubric
Criteria
Ratings
Pts
Chief Complaint (Reason for seeking health care) – S
4 to >3 ptsExemplary Includes a direct quote from patient about presenting problem. 3 to >2 ptsDistinguished Includes a direct quote from patient and other unrelated information. 2 to >0 ptsDeveloping Includes information but information is NOT a direct quote. 0 ptsNovice Information is completely missing.
/ 4 pts
Demographics – S
2 ptsExemplary Begins with patient initials, age, race, ethnicity, and gender (5 demographics). 1.5 ptsDistinguished Begins with 4 of the 5 patient demographics (patient initials, age, race, ethnicity, and gender). 1 ptsDeveloping Begins with 3 or less patient demographics (patient initials, age, race, ethnicity, and gender). 0 ptsNovice Information is completely missing.
/ 2 pts
History of the Present Illness (HPI) – S
5 to >3 ptsExemplary Includes the presenting problem and the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing, and Severity). 3 to >2 ptsDistinguished Includes the presenting problem and 6 of the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing, and Severity). 2 to >1 ptsDeveloping Includes the presenting problem and 4 of the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing, and Severity). 1 to >0 ptsNovice The presenting problem is not clearly stated and/or there are < 4 of the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing, and Severity).
/ 5 pts
Allergies – S
2 ptsExemplary Includes NKA (including = Drug, Environmental, Food, Herbal, and/or Latex or if allergies are present (reports for each severity of allergy AND description of allergy). 1.5 ptsDistinguished If allergies are present, student does not list each type of drug, environmental factor, herbal, food, latex name and include severity of allergy OR description of the allergy. 1 ptsDeveloping If allergies are present, student only lists the type of allergy and omits the name of the allergy. 0 ptsNovice Information is completely missing.
/ 2 pts
Review of Systems (ROS) – S
5 to >3 ptsExemplary Includes a minimum of 3 assessments for each body system, assesses at least 9 body systems directed to chief complaint, AND uses the words “admits” and “denies.” 3 to >2 ptsDistinguished Includes 3 or fewer assessments for each body system, assesses 5-8 body systems directed to chief complaint, AND uses the words “admits” and “denies.” 2 to >0 ptsDeveloping Includes 3 or fewer assessments for each body system, and assesses less than 5 body systems directed to chief complaint, OR student does not use the words “admits” and “denies.” 0 ptsNovice Information is completely missing.
/ 5 pts
Vital Signs – O
2 ptsExemplary Includes all 8 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain). 1.5 ptsDistinguished Includes at least 6 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain). 1 ptsDeveloping Includes at least 4 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain). 0 ptsNovice Information is completely missing.
/ 2 pts
Labs, Diagnostic Tests and Screening Tools – O
3 ptsExemplary During the visit: Includes a list of the labs, diagnostic tests or screening tools reviewed at the visit, values of lab results or screening tools, and highlights abnormal values, OR acknowledges no labs/diagnostic tests were reviewed. 2 ptsDistinguished During the visit: Includes a list of the labs, diagnostic tests, or screening tools reviewed at the visit, but does not include the values of lab results or screening tools, but does not highlight abnormal values. 1 ptsDeveloping During the visit: Includes a list of the labs, diagnostic tests, or screening tools reviewed at the visit but does not include the values of the results or highlight abnormal values. 0 ptsNovice Information is completely missing.
/ 3 pts
Medications-S
3 ptsExemplary Includes a list of all of the patient reported psychiatric and medical medications and the diagnosis for the medication (including name, dose, route, frequency). 2 ptsDistinguished Includes a list of all of the patient reported psychiatric and but omits the medical medications and the diagnosis for the medication (including name, dose, route, frequency). 1 ptsDeveloping Includes a list of some of the patient reported psychiatric and/or medical medications and the diagnosis for the medication (omits the dose, route, frequency of the medications). 0 ptsNovice Information is completely missing.
/ 3 pts
Past Medical History-S
3 ptsExemplary Includes (Major/Chronic, Trauma, Hospitalizations), for each medical diagnosis, year of diagnosis and whether the diagnosis is active or current. 2 ptsDistinguished Includes (Major/Chronic, Trauma, Hospitalizations), for each medical diagnosis, either year of diagnosis OR whether the diagnosis is active or current. 1 ptsDeveloping Includes each medical diagnosis but does not include year of diagnosis or whether the diagnosis is active or current. 0 ptsNovice Information is completely missing.
/ 3 pts
Past Psychiatric History-S
4 to >3 ptsExemplary Includes (Outpatient and Hospitalizations), for each psychiatric diagnosis (including addiction treatment), and year of diagnosis. 3 to >2 ptsDistinguished Includes (Outpatient and Hospitalizations), for each psychiatric diagnosis (omits addiction treatment), and year of diagnosis. 2 to >0 ptsDeveloping Includes (Outpatient and Hospitalizations), for each psychiatric diagnosis (including addiction treatment), and does not include the year of diagnosis. 0 ptsNovice The information is completely missing.
/ 4 pts
Family Psychiatric History-S
4 to >3 ptsExemplary Includes an assessment of at least 6 family members regarding, at a minimum, genetic disorders, mood disorder, bipolar disorder, and history of suicidal attempts. 3 to >2 ptsDistinguished Includes an assessment of at least 4 family members regarding, at a minimum, genetic disorders, mood disorder, bipolar disorder, and history of suicidal attempts. 2 to >0 ptsDeveloping Includes an assessment of at least 2 family members regarding, at a minimum, genetic disorders, mood disorder, bipolar disorder, and history of suicidal attempts. 0 ptsNovice Information is completely missing.
/ 4 pts
Social History-S
3 ptsExemplary Distinguished Includes all 11 of the following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use/pregnancy status, and living situation. 2 ptsDistinguished Includes at least 8 of the following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use/pregnancy status, and living situation. 1 ptsDeveloping Includes all 6 of the following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use/pregnancy status, and living situation. 0 ptsNovice Information is completely missing.
/ 3 pts
Mental Status Exam-O
15 to >12 ptsExemplary Includes all 10 components of the mental status exam (appearance, attitude/behavior, mood, affect, speech, thought process, thought content/ perception, cognition, insight and judgement) with detailed descriptions for each area. 12 to >10 ptsDistinguished Includes all 8 components of the mental status exam (appearance, attitude/behavior, mood, affect, speech, thought process, thought content/ perception, cognition, insight and judgement) with detailed descriptions for each area. 10 to >0 ptsDeveloping Includes >6 components of the mental status exam (appearance, attitude/behavior, mood, affect, speech, thought process, thought content/ perception, cognition, insight and judgement) with some descriptions for each area. 0 ptsNovice Includes <3 components of the mental status exam (appearance, attitude/behavior, mood, affect, speech, thought process, thought content/ perception, cognition, insight and judgement) OR detailed descriptions is not included for each area.
/ 15 pts
Primary Diagnoses-A
11 to >6 ptsExemplary Includes a clear outline of the accurate principal diagnosis AND lists the remaining diagnoses addressed at the visit (in descending priority) using the DSM-5-TR. The correct ICD-10 billing code is used. 6 to >3 ptsDistinguished Includes a clear outline of the accurate diagnoses addressed at the visit but does not list the diagnoses in descending order of priority using the DSM-5-TR. The correct ICD-10 billing code is used. 3 to >0 ptsDeveloping Includes an inaccurate diagnosis as the principal diagnosis. The ICD-10 code is incorrect or missing. 0 ptsNovice Information is completely missing.
/ 11 pts
Differential Diagnoses-A
3 ptsExemplary Includes at least 2 differential diagnoses that can be supported by the subjective and objective data provided using the DSM-5-TR. The correct ICD-10 billing code is used. 2 ptsDistinguished Includes 1 differential diagnosis that can be supported by the subjective and objective data provided using the DSM-5-TR. The correct ICD-10 billing code is used. 1 ptsDeveloping Includes at least 1 differential diagnosis that is NOT supported by the subjective and objective data. The ICD-10 code is incorrect or missing. 0 ptsNovice Information is completely missing.
/ 3 pts
Outcome Labs/Screening Tools – O
3 ptsExemplary After the visit: orders appropriate diagnostic/lab testing or screening tool 100% of the time OR acknowledges “no diagnostic testing or screening tool clinically required at this time.” 2 ptsDistinguished After the visit: orders appropriate diagnostic/lab testing 50% of the time OR acknowledges “no diagnostic testing or screening tool clinically required at this time.” 1 ptsDeveloping After the visit, orders appropriate diagnostic testing less than 50% of the time. 0 ptsNovice Information is completely missing.
/ 3 pts
Treatment
10 to >8 ptsExemplary Includes a detailed pharmacologic and non pharmacological treatment plan for each of the diagnoses listed under “assessment”. The plan includes ALL of the following: drug/vitamin/herbal name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. For non-pharmacological treatment, includes: treatment name, frequency, duration. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above. The plan is supported by the current US clinical guidelines. 8 to >6 ptsDistinguished Includes a detailed pharmacologic and non pharmacological treatment plan for each of the diagnoses listed under “assessment”. The plan includes 4-7 of the following: drug/vitamin/herbal name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. For non-pharmacological treatment, includes: treatment name, frequency, duration. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above. The plan is supported by the current US clinical guidelines. 6 to >0 ptsDeveloping Includes a detailed pharmacologic and non pharmacological treatment plan for each of the diagnoses listed under “assessment”. The plan includes 4 of the following: drug/vitamin/herbal name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. Non-pharmacological treatment NOT included. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above. The plan is NOT supported by the current US clinical guidelines OR is unsafe. 0 ptsNovice Information is completely missing.
/ 10 pts
Patient/Family Education-P
5 to >3 ptsExemplary Includes at least 3 strategies to promote and develop skills for managing their illness and at least 3 self-management methods on how to incorporate healthy behaviors into their lives. 3 to >2 ptsDistinguished Includes at least 2 strategies to promote and develop skills for managing their illness and at least 2 self-management methods on how to incorporate healthy behaviors into their lives. 2 to >0 ptsDeveloping Includes at least 1 strategies to promote and develop skills for managing their illness and at least 1 self-management methods on how to incorporate healthy behaviors into their lives. 0 ptsNovice Information is completely missing.
/ 5 pts
Referral
3 ptsExemplary Provides a detailed list of medical and other interdisciplinary referrals or documents NO REFERRAL ADVISED AT THIS TIME. Includes a timeline for follow up appointments. 2 ptsDistinguished Provides a medical or other interdisciplinary referral or documents NO REFERRAL ADVISED AT THIS TIME. Includes a timeline for follow up appointments. 1 ptsDeveloping Provides a medical or other interdisciplinary referral. DOES NOT include a timeline for follow up appointments. 0 ptsNovice Information is completely missing.
/ 3 pts
APA Formatting
5 to >3 ptsExemplary Effectively uses literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of precision with APA 7th Edition writing style. 3 to >2 ptsDistinguished Effectively uses literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of precision with APA 7th Edition writing style. 2 to >0 ptsDeveloping Ineffectively uses literature and other resources to inform their work. Moderate use of citations and extended referencing. APA 7th Edition writing style not strictly adhered to. 0 ptsNovice APA style and writing mechanics not used.
/ 5 pts
References
5 to >3 ptsExemplary The reference page contains at least the required current scholarly academic reference and text reference. Follows APA guidelines of components: double space, 12 pt. font, abstract, level headings, hanging indent and in-text citations. 3 to >2 ptsDistinguished References page contains one current scholarly academic resource and text reference. Follows most APA guidelines of components: double space, 12 pt. font, abstract, level headings, hanging indent, and in-text citations. 2 to >0 ptsDeveloping References page contains one current or outdated scholarly academic resource. Many errors of APA guidelines: double space, 12 pt. font, abstract, level headings, hanging indent, and in-text citations. 0 ptsNovice References page contains no current scholarly academic resources, only internet webpages or no reference page. Lack of APA guidelines for references provided or in-text citations.
